Individual
ANNA M VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-4463
Mailing address
700 COLLINS DR, TRAVIS AFB, CA 94535-2427
(210) 748-3314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001305382
VA
163W00000X
Registered Nurse
597771
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024182486
VA
367500000X
Certified Registered Nurse Anesthetist
4192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629346309
—
CA
Enumeration date
12/08/2011
Last updated
02/09/2026
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