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Individual

MISS KIMARA VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258-5036
(602) 670-4265
Mailing address
4727 E BELL RD STE 45348, PHOENIX, AZ 85032-2308
(602) 670-4265
(480) 781-4841

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
16-1560
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3147
AZ

Other

Enumeration date
10/13/2008
Last updated
05/05/2025
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