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Contact Information

KRISTY O MAUGHAN, RN
238 N MERIDIAN
RUPERT, ID83350-9112
 Phone: 864-280-5165
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KRISTY O MAUGHAN · (Female)

NPI # 1770428948
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/22/2026
Last updated 04/22/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 67634
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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