# DR. CHARDONNAY VANCE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164834347
- **Gender:** F
- **Credential:** MD PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 11037A | WY | — |
| 207Q00000X | Family Medicine Physician | 21239 | NV | — |
| 207Q00000X | Family Medicine Physician | 21735 | NH | — |
| 207Q00000X | Family Medicine Physician | 29232 | MS | — |
| 207Q00000X | Family Medicine Physician | 30684 | WV | — |
| 207Q00000X | Family Medicine Physician | 38523 | OK | — |
| 207Q00000X | Family Medicine Physician | 88601 | SC | — |
| 207Q00000X | Family Medicine Physician | C1-0024847 | DE | — |
| 207Q00000X | Family Medicine Physician | EMC0000406 | MI | — |
| 207Q00000X | Family Medicine Physician | MC-0516 | ID | — |
| 207Q00000X | Family Medicine Physician | MD181361 | OR | — |
| 207Q00000X | Family Medicine Physician | MD60734244 | WA | — |
| 207Q00000X | Family Medicine Physician | MED-PHYS-LIC-53568 | MT | — |
| 207Q00000X | Family Medicine Physician | T6799 | TX | — |
| 207VX0000X | Obstetrics Physician | MD181361 | OR | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 03/13/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2080300 | — | WA |