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NPI Code Detail

MEDICARE: TAYLOR ANNE VAUGHN

MEDICARE:   TAYLOR ANNE VAUGHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA.0007458CO
2363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1194228288
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR ANNE VAUGHN
Provider Business Mailing Address
First Line : 4891 INDEPENDENCE ST STE 120
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-6713
Country : US
Telephone Number : 303-456-5495
Fax Number : 303-456-7490
Provider Business Practice Location Address
First Line : 355 UNION BLVD STE 360
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1528
Country : US
Telephone Number : 720-651-9500
Fax Number : 720-710-8130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2018
Last Update Date : 09/18/2024

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Directions to “ TAYLOR ANNE VAUGHN ” Practice Location

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