Vaughen, Susan Phillips

Vaughen, Susan Phillips is an individual health care provider with primary practice located at 785 Primera Blvd Suite 1031, Lake Mary FL 32746-2124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Vaughen, Susan Phillips can be contacted via phone (407) 834-8111.

Contact Information

Primary practice address
785 Primera Blvd Suite 1031 Lake Mary FL 32746-2124
Phone: (407) 834-8111
Fax: (407) 708-1958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2011692 Florida

Profile Details

NPI number 1174528830
LBN Legal business name Vaughen, Susan Phillips
Credentials ARNP CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 18th, 2010 - about 15 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174528830 NPPES
Florida MEDICAID 304590100

Popular Providers