Vaughn, Shannon R
Vaughn, Shannon R is an individual health care provider with primary practice located at 300 E Jefferson St Suite 101, Boise ID 83712-6246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Vaughn, Shannon R can be contacted via phone (208) 322-1680.Contact Information
Primary practice address
300 E Jefferson St Suite 101
Boise ID 83712-6246
Phone: (208) 322-1680
Fax: (208) 685-2282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP870A | Idaho |
Profile Details
| NPI number | 1306006929 |
|---|---|
| LBN Legal business name | Vaughn, Shannon R |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Aug 21st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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