Individual
MELEAH VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9229 WARD PKWY STE 380, KANSAS CITY, MO 64114-5471
(816) 319-4785
Mailing address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209014382
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
MO-2013039537
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01684868
RAILROAD
IL
Enumeration date
06/24/2016
Last updated
01/26/2021
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