Individual
DENISE MICHELLE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 673-5241
(804) 977-6244
Mailing address
4920 W BROAD ST, RICHMOND, VA 23230-3115
(804) 673-5241
(804) 977-6244
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
0001279908
VA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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