NPI 1083300834

Tiffany Renee Vaughn

Practitioner Driver Indianapolis, IN

Practice location

Address: 6138 W 30th St, Indianapolis, IN 46224-3055
Phone: (317) 603-9101

Registered specialties (2)

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1083300834
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2023
Record last updated: 14 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.