VANCORP LLC NPI 1790300598

NPI Information

NPI: 1790300598
Provider Name: VANCORP LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 13D2199209

Address:
270 W GEORGIA AVE STE 110
NAMPA, ID
ZIP 83686
Phone: (208) 724-4125
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VANCORP LLC is a family nurse practitioner in Nampa, ID. VANCORP LLC NPI is 1790300598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

270 W GEORGIA AVE STE 110
NAMPA, ID
ZIP 83686-835
Phone: (208) 724-4125

The provider's authorized official is Bethany Vance .
The authorized official title is Ceo/member and has the following contact phone number (208) 724-4125.

The CLIA number assigned to this NPI record is 13D2199209 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2020 and was last updated on 6/9/2020.

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	Primary
1	111N00000X	Chiropractor		No
2	225100000X	Physical Therapist		No
3	363LF0000X	Nurse Practitioner	Family	Yes

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: 4/28/2024

NPI Synchronization or Removal

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