Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DETRA L VANCE
Active Sole ProprietorMS. DETRA L VANCE is a Hospice Care, Community Based healthcare provider located in PHOENIX, Arizona. NPI 1568218378 is currently active in the NPPES registry. Verify at CMS.
Hospice Care, Community Based · PHOENIX, AZ
Registration Details
- NPI Number
- 1568218378
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2024 (2.2724676455502 yrs)
- Last Updated
- Apr 24, 2024
- License
-
999950215 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1729 E CALDWELL STPHOENIX, AZ, 850428044Browse AZ providers · Browse ZIP 85042
- Phone
- 6023488278
- Primary Specialty
-
Hospice Care, Community Based
251J00000X
Other Hospice Care, Community Based Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| DIANNE SMITH | — | 1407061963 |
| JACQUELINE CENTES | CNA | 1922989268 |
| KRISTOPHER RAMOS | — | 1205705886 |
| NINA M JELANI | — | 1154283604 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.