Provider Demographics
NPI:1255083267
Name:RICE, TYLER CURTIS (ARNP, FNP-C)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:CURTIS
Last Name:RICE
Suffix:
Gender:M
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 SW BLUFF DR STE A
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1283
Mailing Address - Country:US
Mailing Address - Phone:541-508-4858
Mailing Address - Fax:
Practice Address - Street 1:595 SW BLUFF DR STE A
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1283
Practice Address - Country:US
Practice Address - Phone:541-508-4858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202200380NP-PP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner