Antonioli Vance, Lorraine C

Antonioli Vance, Lorraine C is an individual health care provider with primary practice located at 1850 N Central Ave Suite 1600, Phoenix AZ 85004-4527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Antonioli Vance, Lorraine C can be contacted via phone (602) 262-8900.

Contact Information

Primary practice address
1850 N Central Ave Suite 1600 Phoenix AZ 85004-4527
Phone: (602) 262-8900
Fax: (602) 445-4079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X RN063282 Arizona

Profile Details

NPI number 1972578110
LBN Legal business name Antonioli Vance, Lorraine C
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 10th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972578110 NPPES
Arizona Other AZ0162540 BCBS OF AZ
Arizona MEDICAID 187387 BCBS OF AZ

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