Individual
ANNE T VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 225-4480
(502) 225-9169
Mailing address
2401 TERRA CROSSING BLVD, SUITE 401, LOUISVILLE, KY 40245-5371
(502) 225-4480
(502) 225-9169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006283
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000897412
ANTHEM
KY
05
—
7100272350
—
KY
Enumeration date
04/01/2010
Last updated
07/12/2017
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