Individual
MONIQUE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4076 NEELY ROAD, BLDG 4076, FORT WAINWRIGHT, AK 99703-7440
(907) 361-5326
Mailing address
PO BOX 35271, FORT WAINWRIGHT, AK 99703-0271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041369079
IL
363LF0000X
Family Nurse Practitioner
Primary
AP61468916
WA
Other
Enumeration date
11/09/2020
Last updated
09/08/2023
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