Individual
ELIZABETH VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
10580 LIGON MILL RD # 210, WAKE FOREST, NC 27587-6090
(919) 263-9592
Mailing address
4302 WHITE CLIFF LN, DURHAM, NC 27712-9557
(608) 335-8581
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
5013330
NC
Other
Enumeration date
07/13/2020
Last updated
08/04/2020
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