Provider Demographics
NPI:1780898320
Name:RICE, SUSAN RENEE (WHCNP)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:RENEE
Last Name:RICE
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-1849
Mailing Address - Country:US
Mailing Address - Phone:419-626-5623
Mailing Address - Fax:
Practice Address - Street 1:420 SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870
Practice Address - Country:US
Practice Address - Phone:419-626-5623
Practice Address - Fax:419-626-8778
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP00743207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRIC104303878OtherWOMENS HEALTH PRACTIONER