Individual
MS. PAULA LYNN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
4901 FOREST PARK AVE, DIV SURG ACCS, STE 340, SAINT LOUIS, MO 63108-1495
(314) 362-5298
(888) 824-2176
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 362-5298
(888) 824-2176
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2013004690
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
429174204
—
MO
Enumeration date
09/11/2012
Last updated
04/25/2024
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