DIANA VAUGHN

CARMI, IL
NPI1588185888
Former NameDIANA MUGGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.016082)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IL  041290795)
Enumeration Date2017-06-28
Last Update Date2023-01-13
Business Address
DIANA VAUGHN FNP-C
1112 OAK ST STE 102
CARMI, IL 62821-1344
Phone number: 618-382-5985
Mailing Address
DIANA VAUGHN FNP-C
PO BOX 429
MC LEANSBORO, IL 62859-0429
Phone number: 618-643-2361