Provider Demographics
NPI:1619563517
Name:VANCE, REBEKAH (BSN)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:VANCE
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3674 MOUNTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:UPPER ARLINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4880
Mailing Address - Country:US
Mailing Address - Phone:614-917-8154
Mailing Address - Fax:
Practice Address - Street 1:3674 MOUNTVIEW RD
Practice Address - Street 2:
Practice Address - City:UPPER ARLINGTON
Practice Address - State:OH
Practice Address - Zip Code:43220-4880
Practice Address - Country:US
Practice Address - Phone:614-917-8154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health