Provider Demographics
NPI:1205518024
Name:VANCE, SHEILA (MA)
Entity type:Individual
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First Name:SHEILA
Middle Name:
Last Name:VANCE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:145 ABENBERG CT
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-7135
Mailing Address - Country:US
Mailing Address - Phone:414-736-0435
Mailing Address - Fax:
Practice Address - Street 1:1572 HIGHWAY 85 N STE 330
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7730
Practice Address - Country:US
Practice Address - Phone:414-736-0435
Practice Address - Fax:470-517-2988
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
No171400000XOther Service ProvidersHealth & Wellness Coach
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy