Individual
MRS. CATHERINE LEANNE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
305 HIGHWAY 346, ECRU, MS 38841-9772
(662) 489-2669
Mailing address
130 GYM CIR, SALTILLO, MS 38866-8883
(662) 255-0632
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
900620
MS
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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