Individual provider · Type 1 NPI

Lorraine C. Antonioli Vance, CRNFA

Surgical Physician Assistant · Phoenix, AZ

NPI number 1972578110 Active

Practice location

1850 N Central Ave, Suite 1600
Phoenix, AZ 85004-4527

Call (602) 262-8900 Map

Fax (602) 445-4079

Mailing address

PO Box 34864
Phoenix, AZ 85067-4864

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XRN063282 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1972578110

Lorraine C. Antonioli Vance, CRNFA's National Provider Identifier is 1972578110, issued on Feb 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 10, 2010.