Shannon Vance

NPI #1427425156 in Cody, Wyoming

Provider Information

NPI Number
1427425156
Entity Type
Individual
Name
Shannon Vance
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Aug 28, 2015
Last Updated
Jan 29, 2020

Practice Location

Address
707 SHERIDAN AVE
City
Cody
State
Wyoming
ZIP Code
82414-3409
Phone
(307) 587-2139

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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