NPI 1003025826

Martin Vaughn, CRNA

Practitioner Certified Registered Nurse Anesthetist Poplar Bluff, MO

Practice location

Address: 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396
Phone: (573) 785-7721
Mailing address: 280 Cr 782, Jonesboro, AR 72401

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence C001525 (AR)

Other Nurse Anesthetist, Certified Registered providers in Missouri →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 2005030753 (MO)

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Registry record

NPI: 1003025826
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2007
Record last updated: 15 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.