Provider Demographics
NPI:1497180913
Name:RICE, SUSAN MARIE (PA)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIE
Last Name:RICE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:818 5TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1304
Mailing Address - Country:US
Mailing Address - Phone:877-811-7526
Mailing Address - Fax:515-280-9525
Practice Address - Street 1:850 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-5412
Practice Address - Country:US
Practice Address - Phone:877-811-7526
Practice Address - Fax:319-354-4504
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2025-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA002440363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant