Provider Demographics
NPI:1356228068
Name:VANCE, ANNA MARIE (DNP)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MARIE
Last Name:VANCE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5075 LEMOYNE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-5980
Mailing Address - Country:US
Mailing Address - Phone:937-818-5359
Mailing Address - Fax:937-818-5359
Practice Address - Street 1:5075 LEMOYNE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-5980
Practice Address - Country:US
Practice Address - Phone:937-818-5359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.389326163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency