Individual
MRS. BILLIE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 20TH ST S, BIRMINGHAM, AL 35205-4998
(205) 212-5600
(205) 212-5611
Mailing address
1600 20TH ST S, BIRMINGHAM, AL 35205-4998
(205) 212-5600
(205) 212-5611
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-115568
AL
364SG0600X
Gerontology Clinical Nurse Specialist
1-115568
AL
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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