Individual
MS. CHRISTINE ANN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
714 GRAVOIS RD, STE 200, FENTON, MO 63026-7766
(636) 349-5437
(636) 349-6663
Mailing address
PO BOX 7412053, CHICAGO, IL 60674-2053
(636) 349-5437
(636) 349-6663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020029683
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420090531
—
MO
Enumeration date
11/02/2015
Last updated
04/17/2025
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