Organization
OMAHA ANESTHESIA ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN VAUGHN (OFFICER)
(877) 328-1119
Entity
Organization
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(877) 328-1119
Mailing address
PO BOX 745938, ATLANTA, GA 30374-5938
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/19/2020
Last updated
05/05/2023
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