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NPI Code Detail

MEDICARE: MRS. JANET LEIGH VAUGHN CRNA

MEDICARE:  MRS. JANET LEIGH VAUGHN  CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist95050062CA

General Provider Information

NPI Number : 1831587989
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET LEIGH VAUGHN CRNA
Provider Business Mailing Address
First Line : 10302 FENWICK ISLAND DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93314-8091
Country : US
Telephone Number : 480-406-9027
Fax Number :
Provider Business Practice Location Address
First Line : 10302 FENWICK ISLAND DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93314-8091
Country : US
Telephone Number : 480-406-9027
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2014
Last Update Date : 12/23/2014

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Directions to “ MRS. JANET LEIGH VAUGHN CRNA” Practice Location

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