Individual
MS. CAROL L. VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP RNC
Contact information
Practice address
1733 S MICHIGAN ST, SOUTH BEND, IN 46613-2219
(574) 237-6644
(574) 289-6563
Mailing address
19811 DREAMWOLD ST, SOUTH BEND, IN 46637-1502
(574) 277-7706
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
28114245A
IN
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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