Individual
VAUGHN MICHAEL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP
Contact information
Practice address
2613 W HENRIETTA RD STE A, ROCHESTER, NY 14623-2327
(585) 279-4900
Mailing address
2613 W HENRIETTA RD STE A, ROCHESTER, NY 14623-2327
(585) 279-4900
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405866-01
NY
Other
Enumeration date
08/05/2024
Last updated
10/23/2024
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