Individual
KRISTEN HENNING VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3815 ATMORE GROVE DR, LUTZ, FL 33548-7990
(813) 428-7030
(813) 428-7040
Mailing address
5380 PRIMROSE LAKE CIR, TAMPA, FL 33647-3589
(813) 769-2778
(813) 769-2779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11045504
FL
363L00000X
Nurse Practitioner
Primary
RN246092
GA
Other
Enumeration date
07/06/2018
Last updated
05/01/2026
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