Provider Demographics
NPI:1952636557
Name:RICE, GARR EDWARD (RN)
Entity Type:Individual
Prefix:
First Name:GARR
Middle Name:EDWARD
Last Name:RICE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAMPUS BOX 20, P.O.BOX 173362
Mailing Address - Street 2:PLAZA BUILDING, SUITE 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-3362
Mailing Address - Country:US
Mailing Address - Phone:303-556-2525
Mailing Address - Fax:
Practice Address - Street 1:955 LAWRENCE WAY
Practice Address - Street 2:PLAZA BUILDING, SUITE 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80217-3362
Practice Address - Country:US
Practice Address - Phone:303-556-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO192038163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse