Individual
BREANNA JANELLE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4605 MACCORKLE AVE SW, CHARLESTON, WV 25309-1311
(304) 932-8929
Mailing address
4605 MACCORKLE AVE SW, CHARLESTON, WV 25309-1398
(304) 766-3600
(304) 932-8929
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
120832
WV
Other
Enumeration date
07/12/2025
Last updated
07/12/2025
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