Jeffrey Vance, | |
3000 32nd Ave S, Fargo, ND 58103-6132 | |
(701) 364-8000 | |
Not Available |
Full Name | Jeffrey Vance |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 3000 32nd Ave S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205296993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R36482 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Bismarck | 9739098575 | 457 |
Entity Name | Sanford Bismarck |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Vance, Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Jeffrey Vance, 3000 32nd Ave S, Fargo, ND 58103-6132 Ph: (701) 364-8000 |
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