Individual
POLLY S VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
140 FAIRWAY DR, WILMINGTON, OH 45177-8008
(937) 974-5591
(937) 730-0023
Mailing address
6100 GURNEYVILLE RD, WILMINGTON, OH 45177-6508
(937) 313-4400
(937) 488-1414
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN.CNP.09551
OH
363LP0200X
Pediatric Nurse Practitioner
NP-09551
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.09551
OH
Other
Enumeration date
10/02/2007
Last updated
05/17/2026
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