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

Justin T Vaughn, CRNA

Individual provider General Practice Registered Nurse · NPI 1568412096

Justin T Vaughn, CRNA is a General Practice Registered Nurse in Tacoma, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

9040 Jackson Ave Madigan Army Medical Ctr
Tacoma, WA 98431-0001
Phone: (253) 968-1110
Show map & directions

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

Additional practice locations (1)

  • 209 Lilly Rd Ne, Olympia, WA 98506-5030 — (360) 413-8250

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP300007207 (WA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN00162696 (WA)

Record details

NPI number1568412096
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024

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