Individual
ALEXANDRA NICOLE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
(804) 363-4019
Mailing address
3410 W CLAY ST APT 621B, RICHMOND, VA 23230-4664
(804) 363-4019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2021
Last updated
10/30/2024
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