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Individual

MR. NICHOLAS RIBURN VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C, AGACNP-BC

Contact information

Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5141
(575) 522-8641
Mailing address
6236 FRANKLIN RIDGE DR, EL PASO, TX 79912-7486
(915) 479-0029

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
AP127333
TX
363LF0000X
Family Nurse Practitioner
AP127333
TX
363LF0000X
Family Nurse Practitioner
Primary
CNP-03283
NM

Other

Enumeration date
01/28/2015
Last updated
12/26/2018
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