Provider Demographics
NPI:1275200362
Name:VANCE, MERILEE MARIE (RN, CNM)
Entity type:Individual
Prefix:MRS
First Name:MERILEE
Middle Name:MARIE
Last Name:VANCE
Suffix:
Gender:F
Credentials:RN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18035 BROOKHURST ST STE 2100
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6738
Mailing Address - Country:US
Mailing Address - Phone:657-241-9090
Mailing Address - Fax:714-665-4603
Practice Address - Street 1:18035 BROOKHURST ST STE 2100
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6738
Practice Address - Country:US
Practice Address - Phone:657-241-9090
Practice Address - Fax:714-665-4603
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95122434163WX0003X
CACNM236340176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient