SHANNON R VAUGHN

BOISE, ID
NPI1306006929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: ID  NP870A)
Enumeration Date2008-06-17
Last Update Date2012-08-21
Business Address
-- SHANNON R VAUGHN NP
300 E JEFFERSON ST SUITE 101
BOISE, ID 83712-6246
Phone number: 208-322-1680
Mailing Address
-- SHANNON R VAUGHN NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-336-4141
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