Provider Demographics
NPI:1780556266
Name:VANCE, AMBER JANE (ND)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:JANE
Last Name:VANCE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 MARSH ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2132
Mailing Address - Country:US
Mailing Address - Phone:617-991-3452
Mailing Address - Fax:
Practice Address - Street 1:693R BELMONT ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-4401
Practice Address - Country:US
Practice Address - Phone:617-991-3452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAND10048175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath