Individual
SHANNON VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 587-2139
Mailing address
PO BOX 1155, BILLINGS, MT 59103-1155
(406) 248-3290
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
40029-1636
WY
367500000X
Certified Registered Nurse Anesthetist
700729
KS
Other
Enumeration date
08/28/2015
Last updated
01/29/2020
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