Individual
ANDREA KATHRYN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NNP-BC
Contact information
Practice address
1201 W 38TH ST, AUSTIN, TX 78705-1006
(512) 324-1000
Mailing address
1201 W 38TH ST, AUSTIN, TX 78705-1006
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
885764
TX
363LN0000X
Neonatal Nurse Practitioner
AP136820
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP136820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
885764
REGISTERED NURSE
TX
01
—
AP136820
APRN
TX
Enumeration date
01/03/2018
Last updated
02/21/2020
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