Provider Demographics
NPI:1043021108
Name:RICE, DONNA MICHELLE (RN, NBC-HWC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MICHELLE
Last Name:RICE
Suffix:
Gender:F
Credentials:RN, NBC-HWC
Other - Prefix:MISS
Other - First Name:DONNA
Other - Middle Name:MICHELLE
Other - Last Name:LYDIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13908 ROLLING SPRINGS PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-7471
Mailing Address - Country:US
Mailing Address - Phone:502-594-0397
Mailing Address - Fax:
Practice Address - Street 1:13908 ROLLING SPRINGS PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-7471
Practice Address - Country:US
Practice Address - Phone:502-594-0397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-4046404171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach