Provider Demographics
NPI:1730794595
Name:VANCE, RHONDA KAY (APRN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:KAY
Last Name:VANCE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-3622
Mailing Address - Country:US
Mailing Address - Phone:402-354-6485
Mailing Address - Fax:402-354-3199
Practice Address - Street 1:208 S 26TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-3622
Practice Address - Country:US
Practice Address - Phone:402-354-6485
Practice Address - Fax:402-354-3199
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113284363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health