DEETTA KAY VANCE APRN FNP-BC NPI 1144664665

NPI Information

NPI: 1144664665
Provider Name: DEETTA KAY VANCE, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
7229 CLEARVISTA DR
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-4300
Get Directions

Deetta Kay Vance, APRN, FNP-BC is a family nurse practitioner in Indianapolis, IN. Deetta Kay Vance, APRN, FNP-BC NPI is 1144664665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7229 CLEARVISTA DR
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-4300

The NPI 1144664665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2013 and was last updated on 1/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28178817A	INDIANA	No
2	163W00000X	Registered Nurse		2012023980	MISSOURI	No
3	163WH1000X	Registered Nurse	Hospice	120654	KANSAS	No
4	363LF0000X	Nurse Practitioner	Family	71004949A	INDIANA	Yes
5	363LF0000X	Nurse Practitioner	Family	5376265111	KANSAS	No
6	363LF0000X	Nurse Practitioner	Family	2014002636	MISSOURI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01456904	OTHER	INDIANA	MEDICARE RR
2	201236490	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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