Individual
KAREN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
(334) 277-8330
Mailing address
2034 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 269-0212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-104585
AL
363LF0000X
Family Nurse Practitioner
Primary
1-104585
AL
Other
Enumeration date
08/09/2018
Last updated
03/14/2020
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