Individual
REBEKAH LILLIAN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
423 W PINE ST, PINEDALE, WY 82941-5317
(307) 367-7647
Mailing address
PO BOX 1781, PINEDALE, WY 82941-1781
(307) 231-6400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
55325
WY
202D00000X
Integrative Medicine Physician
55325
WY
207P00000X
Emergency Medicine Physician
55325
WY
207Q00000X
Family Medicine Physician
Primary
55325
WY
208000000X
Pediatrics Physician
55325
WY
363L00000X
Nurse Practitioner
55325
WY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
55325
WY
363LP2300X
Primary Care Nurse Practitioner
55325
WY
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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