IndividualActive
Martin Vaughn, CRNA
NPI 1003025826 · Certified Registered Nurse Anesthetist · Poplar Bluff, MO
Provider details
- NPI number
- 1003025826
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2005030753 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 785-7721
Approximate (ZIP-level) locationGet directions
Mailing address
280 Cr 782
Jonesboro, AR 72401
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.