Individual
NICHOLAS R VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5721 W 119TH ST, OVERLAND PARK, KS 66209-3722
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114015
KS
367500000X
Certified Registered Nurse Anesthetist
2022046624
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557385
KS
Other
Enumeration date
11/09/2015
Last updated
09/18/2023
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