Individual
ELLEN CLARKE VAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3289 WOODBURN RD, #350, ANNANDALE, VA 22003
(703) 641-8616
(703) 641-9468
Mailing address
3289 WOODBURN RD, #350, ANNANDALE, VA 22003
(703) 641-8616
(703) 641-9468
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101049705
VA
207RP1001X
Pulmonary Disease Physician
0101049705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006096948
—
VA
Enumeration date
08/02/2006
Last updated
09/11/2025
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