Doctor Name: | SHERRIE A VAUGHN |
NPI Number: | 1144293465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4704168901 |
Business Practice Address: | 110 Sanborn Ave Suite B Big Rapids, MI - 493071770 |
Business Phone Number: | 2317968612 |
Business Fax Number: | 2317966305 |
Mailing Address: | 425 Cherry St Se, GRAND RAPIDS |
State: | MI |
Postal Code: | 495034601 |
Phone Number: | 6167747005 |
Fax Number: | 6167740516 |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 4704168901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |