Individual
DEETTA KAY VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
610 E WALNUT ST STE A, EVANSVILLE, IN 47713-2460
(844) 999-0019
(888) 736-6686
Mailing address
610 E WALNUT ST STE A, EVANSVILLE, IN 47713-2460
(844) 999-0019
(888) 736-6686
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2012023980
MO
163W00000X
Registered Nurse
28178817A
IN
163WH1000X
Hospice Registered Nurse
120654
KS
363LF0000X
Family Nurse Practitioner
2014002636
MO
363LF0000X
Family Nurse Practitioner
5376265111
KS
363LF0000X
Family Nurse Practitioner
Primary
71004949A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
28178817A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201236490
—
IN
Enumeration date
04/26/2013
Last updated
07/31/2025
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