Provider Demographics
NPI:1972474013
Name:HEYER, VAUGHN EDWARD (RN)
Entity type:Individual
Prefix:MR
First Name:VAUGHN
Middle Name:EDWARD
Last Name:HEYER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 W FOX DALE CT
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-3992
Mailing Address - Country:US
Mailing Address - Phone:262-243-7373
Mailing Address - Fax:
Practice Address - Street 1:134 W FOX DALE CT
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-3992
Practice Address - Country:US
Practice Address - Phone:262-243-7373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI140317-30163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency