IndividualActive
Carol Vance, M.D.
NPI 1417012022 · Pediatric Neurodevelopmental Disabilities Physician · Ammon, ID
Provider details
- NPI number
- 1417012022
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- M9751 (ID)
Practice location
1619 Curlew Dr Ste 6
Ammon, ID 83406-4719
Phone: (208) 523-4688
Fax: (208) 523-4990
Mailing address
1619 Curlew Dr Ste 6
Ammon, ID 83406-4719
Registry dates
- Enumerated
- 2006-12-26
- Last updated
- 2008-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.