LORRAINE C ANTONIOLI VANCE (NPI# 1972578110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972578110 |
| Entity Type | Individual |
| Full Name | LORRAINE C ANTONIOLI VANCE |
| Credential | CRNFA |
| Practice Address |
1850 N Central Ave Suite 1600 Phoenix AZ 85004-4527 |
| Mailing Address |
Po Box 34864 Phoenix AZ 85067-4864 |
| Practice Telephone | 6022628900 |
| Practice Fax Number | 6024454079 |
| Mailing Telephone | 6027444760 |
| Mailing Fax Number | 6024454079 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2010-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
RN063282 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS OF AZ | AZ0162540 | 01 |
| AZ | 187387 | 05 |
| Street Address |
1850 N CENTRAL AVE SUITE 1600 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85004-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242880 | Marry Lynn Williams | Nurse Anesthetist, Certified Registered | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2005-08-15 |
| 1811494933 | Kevin Morgan | Nurse Anesthetist, Certified Registered | 1850 N Central Ave, Ste 1600, Phoenix, AZ 85004-4633 | 2018-04-06 |
| 1366974966 | Corina Girigan | Nurse Practitioner | 1850 N Central Ave, Ste 1600, Phoenix, AZ 85004-4633 | 2017-04-02 |
| 1073045761 | Reuben John Cramer | Registered Nurse | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2017-03-31 |
| 1124564125 | Kerianne Ruth Poskaitis | Nurse Anesthetist, Certified Registered | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2017-01-13 |
| 1881136232 | Erin Schankel | Nurse Anesthetist, Certified Registered | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2016-11-15 |
| 1700335528 | Belma Fific | Registered Nurse | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2016-09-22 |
| 1073061073 | Kristin Neal Husain | Nurse Anesthetist, Certified Registered | 1850 N Central Ave, Ste 1600, Phoenix, AZ 85004 | 2016-09-19 |
| 1144774332 | First Assistant Associates Ltd | Registered Nurse | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2016-08-05 |
| 1629424593 | Carlene Anolick | Registered Nurse | 1850 N Central Ave, Suite 1600, Phoenix, AZ 85004-4527 | 2016-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396360749 | Ulivvo Inc. | Nurse Practitioner | 141 E Palm Lane, Suite 206, Phoenix, AZ 85004 | 2020-06-11 |
| 1508325929 | Ican America | Clinic/Center | Cityscape Tower 1 E Washington St., Suite 440, Phoenix, AZ 85004 | 2019-03-15 |
| 1770064107 | Edward Jude Stein | Pharmacist | Two Renaissance Square, 40 N Central Ave, Suite 780, Ihs Clinical Support Center, Phoenix, AZ 85004 | 2018-08-23 |
| 1740775303 | Alexander L. Shaw | Dentist | 201 N Central Ave. #1490, Phoenix, AZ 85004 | 2018-06-26 |
| 1497267868 | Michael Dimoff | Registered Nurse | 1850 N. Central Ave, Ste 1600, Phoenix, AZ 85004 | 2017-10-25 |
| 1093231433 | Ezequiel Bautista | Music Therapist | 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 | 2017-08-17 |
| 1841742442 | Stacy Maahs | Nurse Practitioner | 500 N 3rd St Ste 155, Phoenix, AZ 85004 | 2016-10-29 |
| 1538537246 | Jessica Lindsay Karlson | Pharmacist | 2302 N Central Ave Ste 7, Phoenix, AZ 85004 | 2015-09-11 |
| 1689059883 | Yvette's Hope Foundation | Home Health | 40 N. Central Ave. Ste. 1400, Phoenix, AZ 85004 | 2015-07-29 |
| 1881082790 | Patricia Russell | Specialist/Technologist | 60 E. Vernon Ave, Arcadia Therapy Services, Phoenix, AZ 85004 | 2014-12-30 |
| Find all providers in zip 85004 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630375 | Surgeassist, Pllc | Physician Assistant | 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 | 2017-03-16 |
| 1245695139 | Alex Hall | Physician Assistant | 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 | 2015-12-21 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1598047367 | James P. Ennis II | Physician Assistant | 4023 Cloverland Drive, Phoenix, MD 21131-2139 | 2011-09-16 |
| 1023327251 | Perry A. Brazel | Physician Assistant | 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 | 2010-10-06 |
| 1720305535 | Arizona Surgeons Assistant PC | Physician Assistant | 4369 E Hartford Ave, Phoenix, AZ 85032-2298 | 2010-05-03 |
| 1023296381 | On-call Surgical Assistants LLC | Physician Assistant | 5710 W Spur Dr, Phoenix, AZ 85083-1245 | 2008-02-08 |
| 1760527725 | North Valley Surgical Assisting, Inc. | Physician Assistant | 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 | 2007-02-20 |
| 1548321136 | Laura M Hanschka | Physician Assistant | 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 | 2006-12-13 |
| 1134148513 | Corey L Thompson | Physician Assistant | 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 | 2006-07-18 |
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| 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.