Provider Demographics
NPI:1447494547
Name:RICE, WILLIAM G (CRNA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:G
Last Name:RICE
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:RABB 239
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-3364
Mailing Address - Fax:617-667-5050
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:RABB 239
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-3364
Practice Address - Fax:617-667-5050
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2024-05-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009397367500000X
MARN214904367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110123167AMedicaid