Individual provider · Type 1 NPI
Blake Renee Vaughan, DNP-PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Lancaster, CA
NPI number
1790972792
Active
Practice location
415 East Avenue I
Lancaster, CA 93535-1916
Other practice locations
- 44447 10th St W, Lancaster, CA 93534-3324 · (661) 723-4260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95014515 (CA) |
| Registered Nurse | 163W00000X | RN397019 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790972792
Blake Renee Vaughan, DNP-PMHNP-BC's National Provider Identifier is 1790972792, issued on Oct 3, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lancaster, CA. The record was last updated on Feb 17, 2021.