Individual provider · Type 1 NPI
Martie Brewer Vaughn, F.N.P.
Family Nurse Practitioner · Philadelphia, MS
NPI number
1245312404
Active
Practice location
1014 Holland Ave
Philadelphia, MS 39350-2160
Mailing address
PO Box 486
Philadelphia, MS 39350-0486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R805579 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1245312404
Martie Brewer Vaughn, F.N.P.'s National Provider Identifier is 1245312404, issued on Oct 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, MS. The record was last updated on Jul 9, 2007.