Individual
DESIREE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 N MAIN ST STE 300, ENGLEWOOD, OH 45415-1165
(937) 832-1500
(937) 832-0662
Mailing address
9000 N MAIN ST STE 300, ENGLEWOOD, OH 45415-1165
(937) 832-1500
(937) 832-0662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189735
—
OH
Enumeration date
09/28/2016
Last updated
05/13/2026
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