Vaught, Elizabeth Brianne

Vaught, Elizabeth Brianne is an individual health care provider with primary practice located at 2150 Gettler St Ste 400 , Dyer IN 46311-2385. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Vaught, Elizabeth Brianne can be contacted via phone (219) 865-0893.

Contact Information

Primary practice address
2150 Gettler St Ste 400 Dyer IN 46311-2385
Phone: (219) 865-0893
Fax: (219) 865-3599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 041354593 Illinois
Nursing Service Providers / General Practice 163WG0000X 209012854 Illinois
Nursing Service Providers / General Practice 163WG0000X 28172376A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006196A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71006196A Indiana

Profile Details

NPI number 1093175630
LBN Legal business name Vaught, Elizabeth Brianne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2016
Last updated Apr 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093175630 NPPES
Indiana MEDICAID 201401700

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