Provider Demographics
NPI:1952810798
Name:RICE, DIANA (RD)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:RICE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 NEWPORT BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-5983
Mailing Address - Country:US
Mailing Address - Phone:405-509-5146
Mailing Address - Fax:
Practice Address - Street 1:8416 STANFORD AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-4919
Practice Address - Country:US
Practice Address - Phone:917-371-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered