Individual provider · Type 1 NPI

Sommer Nicole Vaughan, PA-C

Physician Assistant · Waconia, MN

NPI number 1104932748 Active

Practice location

560 S Maple St, Suite 200
Waconia, MN 55387-1733

Call (952) 442-2163 Map

Fax (952) 442-5903

Mailing address

4200 Dahlberg Dr, Suite 300
Golden Valley, MN 55422-4840

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9844 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104932748

Sommer Nicole Vaughan, PA-C's National Provider Identifier is 1104932748, issued on Aug 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waconia, MN. The record was last updated on Sep 10, 2014.