Individual
NICOLE RENEE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 405-8088
Mailing address
PO BOX 752003, LAS VEGAS, NV 89136-2003
(702) 405-8088
(702) 405-6066
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN002248
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023469202
—
NV
Enumeration date
06/28/2016
Last updated
09/29/2021
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