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Individual

MRS. ASHLEY VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
782816
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
A810628
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09507269
MS
05
319394801
TX
Enumeration date
10/08/2012
Last updated
08/10/2020
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