Individual
MARY LEE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3075 US ROUTE 60 STE A110, HUNTINGTON, WV 25705-8859
(304) 528-4600
Mailing address
3075 US ROUTE 60, HUNTINGTON, WV 25705-8859
(304) 528-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
75562
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN-75562-FNP-BC
WV
Other
Enumeration date
02/04/2016
Last updated
04/23/2025
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