Individual
DR. JOSHUA ROBERT VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-8050
Mailing address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041463654
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209023291
IL
Other
Enumeration date
02/26/2021
Last updated
01/27/2026
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