Individual provider · Type 1 NPI

Kimberly Vaughn, C.R.N.P.

Nurse Practitioner · Baltimore, MD

NPI number 1508892472 Active

Practice location

4940 Eastern Ave
Baltimore, MD 21224-2735

Mailing address

PO Box 64264
Baltimore, MD 21264-4264

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR084664 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508892472

Kimberly Vaughn, C.R.N.P.'s National Provider Identifier is 1508892472, issued on Jun 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Jan 10, 2014.