Individual
AMBER MARIE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN-0990637-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138436800
—
WY
05
—
95807551
—
CO
01
—
P01390035
RR MEDICARE
CO
Enumeration date
01/26/2011
Last updated
12/16/2019
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