Provider Demographics
NPI:1619271954
Name:VANCE, JULIE ANN (CRNP)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:ANN
Last Name:VANCE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6507
Mailing Address - Country:US
Mailing Address - Phone:717-735-3995
Mailing Address - Fax:717-735-9938
Practice Address - Street 1:1605 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6507
Practice Address - Country:US
Practice Address - Phone:717-735-3995
Practice Address - Fax:717-735-9938
Is Sole Proprietor?:No
Enumeration Date:2010-12-30
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011031363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner