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Lorraine C Antonioli Vance, CRNFA
Surgical Physician Assistant in Phoenix, Arizona
NPI 1972578110

Lorraine C Antonioli Vance is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Lorraine C Antonioli Vance practices in Phoenix, AZ and has the professional credentials of CRNFA. The NPI Number for Lorraine C Antonioli Vance is 1972578110 and holds a License No. RN063282 (Arizona).

The current practice location address for Lorraine C Antonioli Vance is 1850 N Central Ave, Phoenix, AZ and can be reached out via phone at 602-262-8900 and via fax at 602-445-4079.

Location: 1850 N Central Ave, Phoenix, AZ, 85067-4864
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Provider Profile Details
NPI Number
1972578110
Provider Name
Lorraine C Antonioli Vance
Credential
CRNFA
Provider Entity Type
Individual
Gender
Female
Address
1850 N Central Ave, Phoenix, AZ, 85067-4864
Phone Number
602-262-8900
Fax Number
602-445-4079
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0162540 01 AZ BCBS OF AZ
187387 05 AZ
institution
Provider Business Practice Location Address Details
Address
1850 N Central Ave
City
State
Zip
85004-4527
Phone Number
602-262-8900
Fax Number
602-445-4079
person
Provider Business Mailing Address Details
Address
1850 N Central Ave
City
State
Zip
85004-4527
Phone Number
602-262-8900
Fax Number
602-445-4079
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
RN063282 (Arizona)
Definition
Definition to come...
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