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General NPI Number Information
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NPI Number | 1144664665
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Entity Type | Individual
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Provider Name | DEETTA KAY VANCE DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 610 E WALNUT ST STE A
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City | EVANSVILLE
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State | IN
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Zip | 47713-2460
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Country | US
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Telephone | 844-999-0019
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Fax | 888-736-6686
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Provider Business Mailing Address
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Address Line | 610 E WALNUT ST STE A
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City | EVANSVILLE
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State | IN
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Zip | 47713-2460
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Country | US
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Telephone | 844-999-0019
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Fax | 888-736-6686
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28178817A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2012023980
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | 120654
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71004949A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2014002636
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5376265111
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 28178817A
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License Number State | IN
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