MS. CATHY SUE VAUGHN
NPI 1477424745
Licensed Practical Nurse in Poplar Bluff, MO
- Individual
- Female
- Licensed Practical Nurse
About CATHY VAUGHN
This page provides the complete NPI Profile along with additional information for Cathy Vaughn, a provider established in Poplar Bluff, Missouri with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1477424745 assigned on September 2025. The practitioner's primary taxonomy code is 164W00000X with license number 043161 (MO). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1477424745 Verify this NPI
- Provider Name
- MS. CATHY SUE VAUGHN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 101 S MAIN ST POPLAR BLUFF, MO 63901
- Location Phone
- (573) 686-5090
- Location Fax
- (573) 785-4104
- Mailing Address
- 101 S MAIN ST POPLAR BLUFF, MO 63901
- Mailing Phone
- (573) 686-5090
- Mailing Fax
- (573) 785-4104
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-17-2025
- Last Update Date
- 09-17-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 043161
- License State
- MO
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477424745, enumerated as an "individual" on September 17, 2025.
The provider is located at 101 S MAIN ST POPLAR BLUFF, MO 63901 and the phone number is (573) 686-5090.
Licensed Practical Nurse with taxonomy code 164W00000X.
