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Individual
MS. TERESA MAE VANCE
Active
Individual
MS. TERESA MAE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024169576
VA
363L00000X
Nurse Practitioner
11328
TN
363L00000X
Nurse Practitioner
22019
SC
363L00000X
Nurse Practitioner
APN0000011328
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010242312
—
VA
05
—
3700035
—
TN
01
—
4166092
BCBS
TN
01
—
P00323569
RAILROAD MEDICARE
TN
01
—
TN0122
UNITED HEALTHCARE RIVER VALLEY
TN
Enumeration date
07/14/2006
Last updated
07/10/2026
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