Individual
BREANNA VANCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(401) 765-1500
Mailing address
19401 T ST, OMAHA, NE 68135-4224
(402) 905-8262
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91636
NE
Other
Enumeration date
12/19/2020
Last updated
12/19/2020
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