Provider Demographics
NPI:1255133013
Name:VAUGHAN, ASHLEY (CMA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:VAUGHAN
Suffix:
Gender:
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 EASTERN SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-6042
Mailing Address - Country:US
Mailing Address - Phone:251-625-2663
Mailing Address - Fax:
Practice Address - Street 1:21890 STATE HIGHWAY 181
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-5139
Practice Address - Country:US
Practice Address - Phone:251-517-4284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other