Organization
BROADVIEW ENTERPRISES LLC
Active
Other names
Broadview Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D VAUGHN NP (PRESIDENT)
(812) 758-3032
Entity
Organization
Contact information
Practice address
4222 BELL RD STE 5, NEWBURGH, IN 47630-2541
(812) 758-3032
(812) 490-1025
Mailing address
PO BOX 28227, BELFAST, ME 04915-2034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
02/16/2021
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