Individual
TRACY D VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200, CHARLOTTE, NC 28203-5866
(704) 381-8840
(704) 381-8848
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 381-8840
(704) 381-8848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
208003
NC
363LN0000X
Neonatal Nurse Practitioner
Primary
5001106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801037023
—
NC
05
—
NP3292
—
SC
Enumeration date
03/18/2009
Last updated
05/04/2023
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