Individual
JULIE D VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
EMILE @ 42ND STREET, OMAHA, NE 68198-0002
(402) 559-4081
(402) 559-7372
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100736
NE
367500000X
Certified Registered Nurse Anesthetist
CR000797
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164474409
BCBS MN
—
05
—
1164474409
—
MN
05
—
1164474409
—
SD
05
—
46022474348
—
NE
05
—
47078557515
—
NE
Enumeration date
05/16/2006
Last updated
09/23/2018
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