Provider Demographics
NPI:1366078503
Name:VAUGHN, HANNAH MARIE (CNP)
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MARIE
Last Name:VAUGHN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10366 TOWNSHIP HIGHWAY 18
Mailing Address - Street 2:
Mailing Address - City:CAREY
Mailing Address - State:OH
Mailing Address - Zip Code:43316-9731
Mailing Address - Country:US
Mailing Address - Phone:419-889-3335
Mailing Address - Fax:
Practice Address - Street 1:27 ST LAWRENCE DR STE 103
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-8313
Practice Address - Country:US
Practice Address - Phone:419-448-4622
Practice Address - Fax:419-448-4804
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026451363LW0102X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health