Doctor Name: | SHARON KAYE VANCE |
NPI Number: | 1558316778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ANP |
License Number: | 733086 |
Business Practice Address: | 2591 Fm 423 Little Elm, TX - 750686664 |
Business Phone Number: | 9727318032 |
Business Fax Number: | 9727318032 |
Mailing Address: | 920 2nd Ave S, Suite 400 MINNEAPOLIS |
State: | MN |
Postal Code: | 554023318 |
Phone Number: | 6122251538 |
Fax Number: | 6122344623 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 03/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 733086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |