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NPI Code Detail

MEDICARE: MISS KIMARA VAUGHN APRN-BC

MEDICARE: MISS KIMARA VAUGHN APRN-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath16-1560AZ
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP3147AZ

General Provider Information

NPI Number : 1003068727
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KIMARA VAUGHN APRN-BC
Provider Business Mailing Address
First Line : 4727 E BELL RD STE 45348
Second Line :
City : PHOENIX
State : AZ
Zip : 85032-2308
Country : US
Telephone Number : 602-670-4265
Fax Number : 480-781-4841
Provider Business Practice Location Address
First Line : 9700 N 91ST ST STE A115
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-5036
Country : US
Telephone Number : 602-670-4265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2008
Last Update Date : 05/05/2025

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Directions to “ MISS KIMARA VAUGHN APRN-BC” Practice Location

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