Individual
MIKAYLA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6699
(219) 947-6200
Mailing address
311 E 125TH AVE, CROWN POINT, IN 46307-8076
(219) 713-3886
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28259068A
IN
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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