Provider Demographics
NPI:1386018638
Name:VANCE, BROOKE ARLEEN (APRN-NP)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:ARLEEN
Last Name:VANCE
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:ARLEEN
Other - Last Name:BORGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:975 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:GERING
Mailing Address - State:NE
Mailing Address - Zip Code:69341-1712
Mailing Address - Country:US
Mailing Address - Phone:308-632-2540
Mailing Address - Fax:308-633-2650
Practice Address - Street 1:975 CRESCENT DR
Practice Address - Street 2:
Practice Address - City:GERING
Practice Address - State:NE
Practice Address - Zip Code:69341-1712
Practice Address - Country:US
Practice Address - Phone:308-632-2540
Practice Address - Fax:308-633-2650
Is Sole Proprietor?:No
Enumeration Date:2015-11-24
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111944363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily