Nicole Renee Vaughn
Nurse Practitioner - Psychiatric/Mental Health
911 N Buffalo Dr Unit 213
Las Vegas
, Nevada 89128-0381
Nicole Renee Vaughn
Nurse Practitioner - Psychiatric/Mental Health
911 N Buffalo Dr Unit 213
Las Vegas
, Nevada 89128-0381
(702) 405-6066
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Nicole Renee Vaughn
- Po Box 752003
- Las Vegas, NV
- Zip : 89136-2003
- Fax : (702) 405-6066
- Phone : (702) 405-8088
Second Address
- Nicole Renee Vaughn
- 911 N Buffalo Dr Unit 213
- Las Vegas, NV
- Zip : 89128-0381
- Phone : (702) 405-8088
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Is Nicole Renee Vaughn a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN002248 | NV |
National Provider Identifier
| NPI | 1023469202 |
|---|---|
| Provider Name | Nicole Renee Vaughn |
| First Address | Las Vegas, NV 89136-2003 |
| Second Address | Las Vegas, NV 89128-0381 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2016 |
| Last Update Date | 29/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023469202 | (05) | NV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.