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Individual

BRIGETTE S VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6402
(402) 559-5731
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6402
(402) 559-5731

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
110704
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110704
NE LICENSE
NE
Enumeration date
05/16/2006
Last updated
06/23/2011
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