Individual provider · Type 1 NPI

Shannon R. Vaughn, NP

Adult Health Nurse Practitioner · Boise, ID

NPI number 1306006929 Active

Practice location

300 E Jefferson St, Suite 101
Boise, ID 83712-6246

Fax (208) 685-2282

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XNP870A (ID)

Adult Health Nurse Practitioner: Definition to come...

31 other providers at this address

Other adult health nurse practitioner providers in Boise

See all in Boise →

About NPI 1306006929

Shannon R. Vaughn, NP's National Provider Identifier is 1306006929, issued on Jun 17, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boise, ID. The record was last updated on Aug 21, 2012.