Doctor Name: | VAUGHN H WHITE |
NPI Number: | 1043239924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | R018421 |
Business Practice Address: | 59 Bangor St Houlton, ME - 047301740 |
Business Phone Number: | 2075324782 |
Business Fax Number: | 2075320830 |
Mailing Address: | Po Box 500, PATTEN |
State: | ME |
Postal Code: | 047650500 |
Phone Number: | 2075324782 |
Fax Number: | 2075320830 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0106X |
License Number: | R018421 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Occupational Health |
Taxonomy Definition: |