Individual provider · Type 1 NPI

Claryssa Vance

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1376494484 Active

Practice location

470 E Lockwood Ave
St. Louis, MO 63119-3141

Mailing address

4106 Wyoming St
St. Louis, MO 63116-3935

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376494484

Claryssa Vance's National Provider Identifier is 1376494484, issued on Feb 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 5, 2026.