Individual
WILLIAM VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Mailing address
2488 E 81ST ST STE 290, TULSA, OK 74137-4265
(918) 494-2665
(918) 927-3193
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95057
OK
363LF0000X
Family Nurse Practitioner
Primary
95057
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200695310A
—
OK
Enumeration date
02/10/2017
Last updated
04/11/2022
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