Sommer Nicole Vaughan in Golden Valley - Physician Assistant
Sommer Nicole Vaughan - NPI 1104932748
Sommer Nicole Vaughan is a Physician Assistant in Golden Valley, Minnesota. Sommer Nicole Vaughan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sommer Nicole Vaughan is 1104932748. The last update date is 2014-09-10.
Sommer Nicole Vaughan's current location address is 4200 Dahlberg Dr, Golden Valley, Minnesota. You can contact this provider via phone number 9525125600 and fax number 9525125651. The mailing address for Sommer Nicole Vaughan is 4200 Dahlberg Dr, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sommer Nicole Vaughan |
|---|---|
| Address | 4200 Dahlberg Dr, Golden Valley, Minnesota |
| Phone Number | 9525125600 |
| Fax Number | 9525125651 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104932748 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2014-09-10 |
Provider Mailing Address Detail
| Address | 4200 Dahlberg Dr |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224840 |
| Phone Number | 9525125600 |
| Fax Number | 9525125651 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9844 |
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Definition: 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 perfor |
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Post Comment/ Review Below
Could you provide the complete address where Sommer Nicole Vaughan is physically located?
The Sommer Nicole Vaughan is situated at the following address: 4200 Dahlberg Dr, Golden Valley, MN 554224840.
What is Sommer Nicole Vaughan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sommer Nicole Vaughan's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1104932748 assigned to Sommer Nicole Vaughan?
The Sommer Nicole Vaughan was issued its 1104932748 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Sommer Nicole Vaughan receive the assignment of its 1104932748 from the Centers for Medicare & Medicaid Services?
The Sommer Nicole Vaughan was issued its 1104932748 by the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information regarding Sommer Nicole Vaughan most recently updated?
The details pertaining to the Sommer Nicole Vaughan, including its address, specialty, and other relevant information, were last refreshed on 2014-09-10.
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