MARY E. VANCE FNP NPI 1407885148

NPI Information

NPI: 1407885148
Provider Name: MARY E. VANCE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9900 BREN ROAD EAST
MAIL ROUTE NM
008-B213, MN
ZIP 55343
Phone: (423) 388-1730
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Mary E. Vance, FNP is a family nurse practitioner in 008-b213, MN. Mary E. Vance, FNP NPI is 1407885148. 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:

9900 BREN ROAD EAST
MAIL ROUTE NM
008-B213, MN
ZIP 55343
Phone: (423) 388-1730

The NPI 1407885148 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 7/3/2006 and was last updated on 6/27/2020.

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	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN007047	TENNESSEE	Yes

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	100025524	OTHER	TENNESSEE	PHP
2	4117453	OTHER	TENNESSEE	BLUECROSSBLUESHIELD
3	TN01N4	OTHER	TENNESSEE	JOHN DEERE
4	3343736	MEDICAID	TENNESSEE

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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