NICOLE R VAUGHN CHANGING MINDS NPI 1760993117

NPI Information

NPI: 1760993117
Provider Name: NICOLE R VAUGHN CHANGING MINDS

Doing Business As: CHANGING MINDS 82

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
911 N BUFFALO DR UNIT 213
LAS VEGAS, NV
ZIP 89128
Phone: (702) 405-8088
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NICOLE R VAUGHN CHANGING MINDS is a psychiatric/mental health nurse practitioner in Las Vegas, NV. NICOLE R VAUGHN CHANGING MINDS NPI is 1760993117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Changing Minds 82.

The provider's business location address is:

911 N BUFFALO DR UNIT 213
LAS VEGAS, NV
ZIP 89128-381
Phone: (702) 405-8088

The provider's authorized official is Jamie Brown .
The authorized official title is Business Manager and has the following contact phone number (702) 405-8088.

The enumeration date for this NPI number is 10/12/2017 and was last updated on 7/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	103G00000X	Clinical Neuropsychologist		No
3	103T00000X	Psychologist		No
4	104100000X	Social Worker		No
5	106H00000X	Marriage & Family Therapist		No
6	2084P0800X	Psychiatry & Neurology	Psychiatry	No
7	251B00000X	Case Management		No
8	251C00000X	Day Training, Developmentally Disabled Services		No
9	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
10	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes
11	106S00000X	Behavior Technician		No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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