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NPI Code Detail

MEDICARE: MARY ELIZABETH VAUGHN

MEDICARE: MARY ELIZABETH VAUGHN
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
1172V00000XCommunity Health WorkerDC

General Provider Information

NPI Number : 1558224618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH VAUGHN
Provider Business Mailing Address
First Line : 2251 PIMMIT DR APT 233
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22043-2812
Country : US
Telephone Number : 703-400-5749
Fax Number :
Provider Business Practice Location Address
First Line : 2251 PIMMIT DR APT 233
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22043-2812
Country : US
Telephone Number : 703-400-5749
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2025
Last Update Date : 12/05/2025

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Directions to “ MARY ELIZABETH VAUGHN ” Practice Location

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