| Doctor Name: | MISS ELIZABETH BRIANNE VAUGHT |
| NPI Number: | 1093175630 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 209012854 |
| Business Practice Address: | 2150 Gettler St Suite 400 Dyer, IN - 463112380 |
| Business Phone Number: | 2198650893 |
| Business Fax Number: | |
| Mailing Address: | 2150 Gettler St, Suite 400 DYER |
| State: | IN |
| Postal Code: | 463112380 |
| Phone Number: | 2198650893 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2016 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 209012854 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |