Individual
ANDREA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 WHITE MAGNOLIA LN, FUQUAY VARINA, NC 27526-3390
(757) 759-0179
Mailing address
125 WHITE MAGNOLIA LN, FUQUAY VARINA, NC 27526-3390
(757) 759-0179
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-315484
IL
174N00000X
Lactation Consultant (Non-RN)
Primary
L-315484
NC
Other
Enumeration date
08/13/2024
Last updated
03/15/2026
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