Individual
REBECCA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Mailing address
6701 VISTA DEL SOL DR NW, ALBUQUERQUE, NM 87120-3798
(505) 899-0487
(505) 272-4549
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP-02322
NM
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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