DEANNA LYNN VAUGHN

FORT WAYNE, IN
NPI1043760424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71009266A)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60670633)
363LF0000X Nurse Practitioner, Family
(Licence: NC  5009010)
Enumeration Date2016-10-10
Last Update Date2019-09-27
Business Address
DEANNA LYNN VAUGHN NP
1234 E DUPONT RD STE 3
FORT WAYNE, IN 46825
Phone number: 260-672-6590
Mailing Address
DEANNA LYNN VAUGHN NP
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 46845-1703
Phone number: