Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anetrius Shantell Vaughn

Individual provider Attendant Care Provider · NPI 1508664970

Anetrius Shantell Vaughn is an Attendant Care Provider in Omaha, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1502 N 70th Ave
Omaha, NE 68104-4621
Phone: (402) 714-2843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1508664970
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 3, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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