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Individual
MRS. VIOLET R VANCE
Active
Individual
MRS. VIOLET R VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
52888
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076568000
—
WV
01
—
1072922
BRICKSTREET
WV
01
—
1770781841
HEALTHNET TRICARE
WV
01
—
PENDING
US DEPT OF LABOR
WV
Enumeration date
07/10/2007
Last updated
08/03/2026
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