Individual
ALEASE J VAUGHN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Mailing address
190 N UNION ST, STE 104, AKRON, OH 44304-1369
(330) 253-9145
(330) 253-6222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN-101632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125748
ANTHEM BCBS INDV NUMBER
OH
05
—
0764141
—
OH
01
—
100153
EMPLOYER KAISER GROUP #
OH
01
—
120800
KAISER PERMANENTE INDV #
OH
01
—
2080224
EMP UNITED HEALTHCARE GRP
OH
05
—
7091249
—
OH
01
—
730612
BUCKEYE COMMUNITY HLTH PL
OH
Enumeration date
05/11/2006
Last updated
07/09/2007
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