Vaughan, Christine Ann
Vaughan, Christine Ann is an individual health care provider with primary practice located at 714 Gravois Rd Ste 200, Fenton MO 63026-7766. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Vaughan, Christine Ann can be contacted via phone (636) 349-5437.Contact Information
Primary practice address
714 Gravois Rd Ste 200
Fenton MO 63026-7766
Phone: (636) 349-5437
Fax: (636) 349-6663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2020029683 | Missouri |
Profile Details
| NPI number | 1871966796 |
|---|---|
| LBN Legal business name | Vaughan, Christine Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2015 |
| Last updated | Apr 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871966796 | NPPES |
| Missouri | MEDICAID | 420090531 |
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