Individual provider · Type 1 NPI

Martin Vaughn, CRNA

Certified Registered Nurse Anesthetist · Poplar Bluff, MO

NPI number 1003025826 Active

Practice location

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396

Mailing address

280 Cr 782
Jonesboro, AR 72401

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X2005030753 (MO)
Certified Registered Nurse Anesthetist Primary 367500000XC001525 (AR)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1003025826

Martin Vaughn, CRNA's National Provider Identifier is 1003025826, issued on May 21, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Jan 15, 2026.