Vaughan, Blake Renee

Vaughan, Blake Renee is an individual health care provider with primary practice located at 415 East Avenue I , Lancaster CA 93535-1916. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Vaughan, Blake Renee can be contacted via phone (661) 878-6513.

Contact Information

Primary practice address
415 East Avenue I Lancaster CA 93535-1916
Phone: (661) 878-6513
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95014515 California
Nursing Service Providers / Registered Nurse 163W00000X RN397019 California

Profile Details

NPI number 1790972792
LBN Legal business name Vaughan, Blake Renee
Credentials DNP-PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Feb 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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