Ryan Alexander Vance, is a
Registered Nurse based in Pea Ridge, Arkansas. Ryan Alexander Vance is licensed to practice in Arkansas (license number 232429) and his current practice location is
200 Carr St, Pea Ridge, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 488-6415.
NPI number for Ryan Alexander Vance is 1093699324 and his current mailing address is 3906 Sw Moline Ave, Bentonville, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093699324.
Provider's Profile
| Full Name | Ryan Alexander Vance |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 200 Carr St, Pea Ridge, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093699324
- Provider Enumeration Date: 07/31/2025
- Last Update Date: 08/07/2025
Medical Identifiers
Medical identifiers for Ryan Alexander Vance such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093699324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 232429 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Alexander Vance is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ryan Alexander Vance, 3906 Sw Moline Ave, Bentonville, AR 72712-7505 Ph: (417) 399-0053 | Ryan Alexander Vance, 200 Carr St, Pea Ridge, AR 72751-2782 Ph: (479) 488-6415 |
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