Individual
MICHELLE M. VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Mailing address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
084320
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
101298
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025589400
—
NE
Enumeration date
03/25/2010
Last updated
06/18/2015
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