Healthcare Provider Details

I. General information

NPI: 1376386524
Provider Name (Legal Business Name): HANNAH DANIELLE VAUGHN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 STANTON L YOUNG BLVD
OKLAHOMA CITY OK
73104-5020
US

IV. Provider business mailing address

920 STANTON L YOUNG BLVD
OKLAHOMA CITY OK
73104-5020
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4351
  • Fax:
Mailing address:
  • Phone: 405-271-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number1183R
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: