Provider Demographics
NPI:1033625843
Name:VANCE, NATALIE DANIELLE FORD (PA, MPH)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:DANIELLE FORD
Last Name:VANCE
Suffix:
Gender:F
Credentials:PA, MPH
Other - Prefix:MISS
Other - First Name:NATALIE
Other - Middle Name:DANIELLE
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA, MPH
Mailing Address - Street 1:475 PROGRESS BLVD
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-6787
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:475 PROGRESS BLVD
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-6787
Practice Address - Country:US
Practice Address - Phone:335-428-0847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical