IndividualActive
Shannon Vaughn, NP
NPI 1306006929 · Adult Health Nurse Practitioner · Boise, ID
Provider details
- NPI number
- 1306006929
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- NP870A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
300 E Jefferson St
Suite 101
Boise, ID 83712-6246
Phone: (208) 322-1680
Fax: (208) 685-2282
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2012-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.