Individual
DANIEL VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1216 N RISING SUN PL, PUEBLO WEST, CO 81007-2851
(719) 229-4367
Mailing address
1216 N RISING SUN PL, PUEBLO WEST, CO 81007-2851
(719) 229-4367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991165-NP
CO
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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