MARY ELIZABETH VAUGHAN


Address: 303 E Baseline Rd, Suite 203, Phoenix, AZ 85042-6530
Phone: 6022322737

MARY ELIZABETH VAUGHAN (NPI# 1962474668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962474668
Entity Type Individual
Full Name MARY ELIZABETH VAUGHAN
Credential NP
Practice Address 303 E Baseline Rd
Suite 203
Phoenix
AZ 85042-6530
Practice Telephone 6022322737
Practice Fax Number 6022322736
Mailing Telephone 6022322737
Mailing Fax Number 6022322736
Enumeration Date 2006-02-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN066868 AZ Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
NP533 AZ Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 303 E BASELINE RD
SUITE 203
City PHOENIX
State AZ
Zip Code 85042-6530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801362892 Sarah Joyce Tucker Nurse Practitioner 303 E Baseline Rd, Phoenix, AZ 85042-6530 2018-10-17
1811490881 Mountain Park Health Center Clinic/Center 303 E Baseline Rd, Phoenix, AZ 85042-6530 2018-03-15
1457720765 Rachel Kennamer Nurse Practitioner 303 E Baseline Rd, Phoenix, AZ 85042-6530 2015-09-16
1558773028 Bobby Jean Mickens Nurse Practitioner 303 E Baseline Rd, Phoenix, AZ 85042-6530 2014-06-02
1124441944 Spooner Physical Therapy & Hand Rehab, PC Physical Therapist 303 E Baseline Rd, Ste 101, Phoenix, AZ 85042-6530 2014-01-30
1144642653 Trent Brooke Physical Therapist 303 E Baseline Rd, Ste 110, Phoenix, AZ 85042-6530 2014-01-17
1144658154 Matthew Getz Physical Therapist 303 E Baseline Rd, Suite 110, Phoenix, AZ 85042-6530 2013-10-30
1831434620 Amy Mainelli Physical Therapist 303 E Baseline Rd, Suite 110, Phoenix, AZ 85042-6530 2012-12-05
1477807485 Spooner Phoenix Physical Therapy, Inc. Physical Therapist 303 E Baseline Rd, Suite 110, Phoenix, AZ 85042-6530 2012-10-30
1487901963 Vilawoe Aku Boadu Pharmacist 303 E Baseline Rd, Suite #100, Phoenix, AZ 85085 2012-08-14
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NPI Name Taxonomy Address Enumeration
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1174028310 Olufemi A Omodara Pharmacist 7227 S. Central Ave, #1080, Phoenix, AZ 85042 2018-03-29
1720537699 Mary Youngblood Registered Nurse 7210 S 27th Way, Phoenix, AZ 85042 2016-10-03
1922490382 Brian Zembower Optometrist 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 2015-02-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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