Individual
MS. SUSAN PHILLIPS VAUGHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP CNM
Contact information
Practice address
785 PRIMERA BLVD, SUITE 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
(407) 708-1958
Mailing address
785 PRIMERA BLVD, SUITE 1031, LAKE MARY, FL 32746-2124
(407) 834-8111
(407) 708-1958
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP2011692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304590100
—
FL
Enumeration date
06/17/2005
Last updated
02/18/2010
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