Ms Kimberly Ann Vaughn, ARNP | |
6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32610-3003 | |
(352) 265-0169 | |
(352) 332-5009 |
Full Name | Ms Kimberly Ann Vaughn |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 6420 W Newberry Rd, Gainesville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811905219 | NPI | - | NPPES |
303116100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP3079612 (Florida) | Secondary |
363L00000X | Nurse Practitioner | APRN3079612 (Florida) | Primary |
Entity Name | Florida Cancer Specialists & Research Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091 |
Mailing Address | Practice Location Address |
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Ms Kimberly Ann Vaughn, ARNP Po Box 102222, Attn Credentialing, Atlanta, GA 30368-2222 Ph: (239) 274-8200 | Ms Kimberly Ann Vaughn, ARNP 6420 W Newberry Rd, East Wing, Suite 100, Gainesville, FL 32610-3003 Ph: (352) 265-0169 |
Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780 | |
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111 | |
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413 | |
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045 | |
Cammie Foresha, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1809 Nw 39th Ave, Gainesville, FL 32605 Phone: 225-588-6225 | |
Ms. Stephani C Lowery, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0761 |