Vaughn, Renae

Vaughn, Renae is an individual health care provider with primary practice located at 61 Memorial Medical Pkwy Ste 2812 , Palm Coast FL 32164-5999. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Vaughn, Renae can be contacted via phone (386) 586-1860.

Contact Information

Primary practice address
61 Memorial Medical Pkwy Ste 2812 Palm Coast FL 32164-5999
Phone: (386) 586-1860
Fax: (386) 586-1861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9495960 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A3669 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN9495960 Florida
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704167219 Michigan

Profile Details

NPI number 1518923093
LBN Legal business name Vaughn, Renae
Credentials RN, MSN, ARNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 28th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518923093 NPPES
Florida MEDICAID 112979900

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