Vance, Deetta Kay
Vance, Deetta Kay is an individual health care provider with primary practice located at 1167 Wilson Dr , Greenwood IN 46143-8221. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Hospice, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vance, Deetta Kay can be contacted via phone (317) 363-3440.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 28178817A | Indiana |
| Nursing Service Providers / Registered Nurse | 163W00000X | 2012023980 | Missouri |
| Nursing Service Providers / Hospice | 163WH1000X | 120654 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2014002636 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5376265111 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71004949A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 28178817A | Indiana |
Profile Details
| NPI number | 1144664665 |
|---|---|
| LBN Legal business name | Vance, Deetta Kay |
| Credentials | APRN, FNP-BC, PMHNP- |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2013 |
| Last updated | Jul 1st, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144664665 | NPPES |
| Indiana | MEDICAID | 201236490 | |
| Indiana | Other | P01456904 |
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