Individual
BRADIE LEE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
122 12TH ST, PRINCETON, WV 24740-2312
(800) 487-7000
Mailing address
124 WOODLAND RD, HINTON, WV 25951-1169
(304) 712-8489
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
116506
WV
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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