Individual provider · Type 1 NPI
Kendall Vaughan, CRNP
Neonatal Nurse Practitioner · Baltimore, MD
NPI number
1003539487
Active
Practice location
22 S Greene St
Baltimore, MD 21201-1590
Mailing address
120 Kingston Park Ln
Middle River, MD 21220-4903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | R223013 (MD) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | PENDING (MD) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1003539487
Kendall Vaughan, CRNP's National Provider Identifier is 1003539487, issued on Sep 21, 2022. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 21, 2022.