VANCORP LLC


Address: 270 W Georgia Ave Ste 110, Nampa, ID 83686-2835
Phone: 2087244125

VANCORP LLC (NPI# 1790300598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790300598
Entity Type Organization
Organization Name VANCORP LLC
Practice Address 270 W Georgia Ave Ste 110
Nampa
ID 83686-2835
Practice Telephone 2087244125
Enumeration Date 2020-06-08
Last Update Date 2020-06-09
Authorized Official Name BETHANY VANCE (CEO/MEMBER)
Authorized Official Telephone 2087244125
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 111N00000X Chiropractor Chiropractic Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 270 W GEORGIA AVE STE 110
City NAMPA
State ID
Zip Code 83686-2835

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NPI Name Taxonomy Address Enumeration
1184255960 Kristine Lynn Fitts-eisenbrandt Social Worker 270 W. Gerogia Ave., Nampa, ID 83686 2020-01-30
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1871150185 King's Peak Investments, Inc. Substance Abuse Rehabilitation Facility 8898 Idaho 45, Nampa, ID 83686 2019-05-22
1154805786 Jmj Nampa LLC Dentist 914 12th Ave Rd, Nampa, ID 83686 2018-09-19
1518448703 Michel Cox Pharmacy Technician 2219 12th Ave S, Nampa, ID 83686 2018-08-24
1437504909 5 Peppers Inc Family Medicine 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 2016-05-03
1811369549 Anna Stoia Physician Assistant 4401 E. Tuscany Ave., Nampa, ID 83686 2015-10-21
1144699307 Jamie Green Social Worker 112 12th Avenue Rd., Nampa, ID 83686 2015-09-17
1174927933 Bower Chiropractic Inc Chiropractor 304 12th Ave Rd, Nampa, ID 83686 2014-10-22
1285037093 Rosemary Phelps Registered Nurse 353 W. Iowa, Nampa, ID 83686 2014-10-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336772029 Kaylynn Winwood Nurse Practitioner 16478 N Elderberry Cir, Nampa, ID 83651-8700 2020-02-20
1164549333 Sarah D Witte Nurse Practitioner 223 16th Ave North, Nampa, ID 83653 2007-03-23
1366412595 David T. Foss Nurse Practitioner 211 16th Ave N, Nampa, ID 83687-4058 2006-01-23
1679189732 Eva Bingham Nurse Practitioner 5826 E Franklin Rd, Nampa, ID 83687-5020 2020-09-23
1730798695 Bobbi Fuller Nurse Practitioner 430 W Iowa Ave, Nampa, ID 83686-2826 2020-07-27
1275169252 Ashley Whitlow Nurse Practitioner 215 E Hawaii Ave, Nampa, ID 83686-6011 2020-03-21
1639640402 Brianna Ashley Cracolice Nurse Practitioner 1007 W Orchard Ave, Nampa, ID 83651-1878 2018-12-05
1972079820 Penny S Mcclain Nurse Practitioner 207 1st St S, Nampa, ID 83651-3703 2018-10-18
1659872000 Ginger Lee Powers Nurse Practitioner 700 Caldwell Blvd, Nampa, ID 83651-1707 2018-02-21
1144738717 Justin Willis Devinaspre Nurse Practitioner 1150 N Sister Catherine Way, Nampa, ID 83687 2018-01-17
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Competitor

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City NAMPA
Zip Code 83686

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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