Mrs Petrie Odetta Rice, is a
Licensed Practical Nurse based in Sylmar, California. Mrs Petrie Odetta Rice is licensed to practice in California (license number VN167990) and her current practice location is
14152 Foothill Blvd., #3, Sylmar, California. She can be reached at her office (for appointments etc.) via phone at
(818) 367-9235.
NPI number for Mrs Petrie Odetta Rice is 1497044051 and her current mailing address is 14152 Foothill Blvd, #3, Sylmar, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497044051.
Provider's Profile
| Full Name | Mrs Petrie Odetta Rice |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 14152 Foothill Blvd., Sylmar, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497044051
- Provider Enumeration Date: 04/05/2011
- Last Update Date: 04/05/2011
Medical Identifiers
Medical identifiers for Mrs Petrie Odetta Rice such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497044051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | VN167990 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Petrie Odetta Rice is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Petrie Odetta Rice,
14152 Foothill Blvd, #3,
Sylmar, CA 91342-8000
Ph: (818) 367-9235 | Mrs Petrie Odetta Rice,
14152 Foothill Blvd., #3,
Sylmar, CA 91342
Ph: (818) 367-9235 |
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