Individual
ANNAMARIE ROSE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
62 W 7TH AVE STE 110, SPOKANE, WA 99204
(509) 462-6485
Mailing address
62 W 7TH AVE STE 110, SPOKANE, WA 99204-2321
(509) 462-6485
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60625857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054612
—
WA
Enumeration date
12/18/2015
Last updated
04/23/2021
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