Female

Rayna A. Vause PA-C

Physician Assistant in Melbourne, FL(View on Map)

Full Name

Rayna A Vause PA-C

NPI Number

1396259958

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/18/2017

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Florida
New Jersey

License Number

PA9111444
25MP00455800

Contact
Information

Purpose

Mailing
Location

Address

3300 S FISKE BLVD
1350 HICKORY ST

City

Rockledge
Melbourne

State

FL
FL

Postal Code

32955-4306
32901-3224

Country

US
US

Telephone Number

N/A
(321) 434-1771

Identifiers

Identifier

N2714
11408300

Identifier State

FL
FL

Identifier Issuer

FL HF MEDICARE
Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

rvause77842@directvirtua.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

100 Bowman Dr Fl 1Voorhees, NJ080439612US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/07/2021

Provider Address

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