Individual
SOMMER NICOLE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
560 S MAPLE ST, SUITE 200, WACONIA, MN 55387-1733
(952) 442-2163
(952) 442-5903
Mailing address
4200 DAHLBERG DR, SUITE 300, GOLDEN VALLEY, MN 55422-4840
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9844
MN
Other
Enumeration date
08/23/2006
Last updated
09/10/2014
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