Individual
BIANCA MONIQUE VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1138 N ROAD ST, ELIZABETH CITY, NC 27909-3353
(321) 443-6708
Mailing address
229 W BUTE ST PH 4, NORFOLK, VA 23510-1423
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9331299
FL
Other
Enumeration date
03/14/2018
Last updated
04/12/2018
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