Individual
MARY M VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1236 HUFFMAN MILL RD, ANESTHESIA DEPT, BURLINGTON, NC 27215-8700
(336) 538-7000
Mailing address
PO BOX 1832, BURLINGTON, NC 27216-1832
(336) 585-1770
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050701
—
NC
Enumeration date
01/24/2006
Last updated
10/08/2007
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