Misty Vannice, R.N.

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

NUR-RN-LIC-70225 Issued in MT

Practice address

634 Eddy Ave
Missoula, MT 59812-1851

Phone

(406) 243-4330

Fax

(406) 243-6946

NPI assigned

Apr 21, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1659791390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 EDDY AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598121851",
            "telephone_number": "406-243-4330",
            "fax_number": "406-243-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 EDDY AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598121851",
            "telephone_number": "406-243-4330",
            "fax_number": "406-243-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNICE",
        "first_name": "MISTY",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MT",
            "license": "NUR-RN-LIC-70225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike R. Vanderiet, BC-HIS
• Tammy Vanderwoude, APRN
• Jessica L Vanderziel, LMT
• Doua Vang
• Andrea M. Vannatta, M.D.
• Hannah Nicole Vasquez, SWLC
• Ned F Vasquez, MD
• Vast Sky Counseling, LLC
• Michael Ann Vaughn, DNP
• Robert Velin, PHD

• Ambulatory Care Registered Nurse in Missoula, MT
• Providers in Missoula, MT by specialty
• Ambulatory Care Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.