Martie Brewer Vaughn in Philadelphia - Family
Martie Brewer Vaughn - NPI 1245312404
Martie Brewer Vaughn is a Family in Philadelphia, Mississippi. Martie Brewer Vaughn practices all healthcare services and medical treatments related to Family. The NPI Number for Martie Brewer Vaughn is 1245312404. The last update date is 2007-07-09.
Martie Brewer Vaughn's current location address is 1014 Holland Ave, Philadelphia, Mississippi. You can contact this provider via phone number 6066564371. The mailing address for Martie Brewer Vaughn is 1014 Holland Ave, Philadelphia, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martie Brewer Vaughn |
|---|---|
| Address | 1014 Holland Ave, Philadelphia, Mississippi |
| Phone Number | 6066564371 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1245312404 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1014 Holland Ave |
|---|---|
| City | Philadelphia |
| State | Mississippi (MS) |
| Post Code | 393502160 |
| Phone Number | 6066564371 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R805579 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 118801 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Martie Brewer Vaughn by the Centers for Medicare & Medicaid Services?
The Martie Brewer Vaughn has been issued the NPI (National Provider Identifier) 1245312404 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Martie Brewer Vaughn's facilities are situated?
The facilities of Martie Brewer Vaughn are physically located at the following address: 1014 Holland Ave, Philadelphia, MS, 393502160.
What is Martie Brewer Vaughn's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martie Brewer Vaughn's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1245312404 to Martie Brewer Vaughn?
The Centers for Medicare & Medicaid Services assigned the 1245312404 to Martie Brewer Vaughn on 2006-10-19.
As of what date were the details related to Martie Brewer Vaughn most recently updated or revised?
The information pertaining to Martie Brewer Vaughn, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
NPI Number: 1982607784
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