Steve Vaughan, CNP
Nurse Practitioner in Albuquerque, NM. Individual provider (NPI-1).
NPI number1982193413
StatusActive
Last updated in NPPESSep 1, 2020
Details
- NPI
- 1982193413
- Entity type
- Individual (NPI-1)
- Name
- Steve Vaughan
- Credential
- CNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 10, 2018
- Certification date
- Aug 25, 2020
- Last updated
- Sep 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | CNP-03576 | NM | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | CNP-03576 | NM |
Practice location
201 Cedar St Se Ste 800Albuquerque, NM 87106-4912
Phone 505-563-2500 · Fax 505-563-2531
Mailing address
Po Box 26666Phs Provider Enrollment
Albuquerque, NM 87125-6666
Phone 505-923-6770
Other practice locations
7007 Jefferson St Ne Ste C
Albuquerque, NM 87109-4450
Albuquerque, NM 87109-4450
Phone 505-340-0406
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