Individual provider · Type 1 NPI

Lolita Maria Vaughan, CRNP

Obstetrics & Gynecology Nurse Practitioner · Philadelphia, PA

NPI number 1376817569 Active

Practice location

9501 Roosevelt Ave., Suite 404
Philadelphia, PA 19114

Call (215) 676-6696 Map

Fax (215) 676-6697

Mailing address

9501 Roosevelt Blvd., Suite 404
Philadelphia, PA 19114

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XUP004943G (PA)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1376817569

Lolita Maria Vaughan, CRNP's National Provider Identifier is 1376817569, issued on Mar 6, 2012. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 6, 2012.