Individual
TANNA S VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-C
Contact information
Practice address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7905
(615) 920-8775
Mailing address
1029 MEDICAL CENTER CIR, STE 308, MAYFIELD, KY 42066-1193
(270) 251-4495
(270) 251-4496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003727
KY
363L00000X
Nurse Practitioner
3727P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000371343
KY ANTHEM BCBS
KY
01
—
P00265239
RAILROAD MEDICARE
KY
Enumeration date
10/02/2006
Last updated
01/24/2017
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