Individual
CAMERON VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
8067 MARTINS CREEK RD, ROANOKE, VA 24018-5855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001285505
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189396
VA
Other
Enumeration date
06/30/2023
Last updated
02/19/2024
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