Provider Demographics
NPI:1487491668
Name:RICE, TIFFANY ANN (CPD)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANN
Last Name:RICE
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SAINT MARYS AVE
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-4037
Mailing Address - Country:US
Mailing Address - Phone:240-257-5436
Mailing Address - Fax:301-327-5432
Practice Address - Street 1:1 SAINT MARYS AVE
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-4037
Practice Address - Country:US
Practice Address - Phone:240-257-5436
Practice Address - Fax:301-327-5432
Is Sole Proprietor?:No
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula