Individual
MELISSA L VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
775 S ARLINGTON AVE, HARRISBURG, PA 17109-5002
(717) 782-5905
(717) 782-5908
Mailing address
775 S ARLINGTON AVE, HARRISBURG, PA 17109-5002
(717) 782-5905
(717) 782-5908
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP011674
PA
363LF0000X
Family Nurse Practitioner
SP011674
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103000894
—
PA
Enumeration date
10/14/2011
Last updated
01/04/2026
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