Nancy Anna Vanco, MA/CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Rio Grande, OH
NPI 1831585769 · NPPES record last updated Apr 7, 2015
Key facts
- NPI
- 1831585769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP-11198 (OH)
- Practice address
- 439 Lake Dr.
Rio Grande, OH 45674 - Phone
- (740) 245-5333
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-11198 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holzer Clinic, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-11198 | OH | Yes |
Addresses
Primary practice location
439 Lake Dr.
Rio Grande, OH 45674
Mailing address
379 Bostic Rd
Gallipolis, OH 45631-8519
Phone (740) 645-7600
Other providers in Rio Grande, OH
- Alycia Mary Melvin
- Rio Family Healthcare LLC
- Sherry Lynn Russell
- Barbara Jo Siders
- Scott Benson Street
- Marsha K Willan
All providers in Rio Grande, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.