Individual
DIANNA R VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1706 MERIDIAN S, SUITE 120, PUYALLUP, WA 98371-7516
(253) 848-8797
(253) 446-3239
Mailing address
1706 MERIDIAN S, SUITE 120, PUYALLUP, WA 98371-7516
(253) 848-8797
(253) 446-3239
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30003698
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163799
LABOR & INDUSTRY NUMBER
WA
01
—
8403024
DSHS NUMBER
WA
Enumeration date
01/02/2006
Last updated
11/10/2011
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