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Mr. Clarence Hughes Wagoner JR., CRNA
Certified Registered Nurse Anesthetist in Kenansville, North Carolina
NPI 1235126400

Clarence Hughes Wagoner JR. is a Certified Registered Nurse Anesthetist based in Kenansville, NC. Clarence Hughes Wagoner JR. practices in Kenansville, NC and has the professional credentials of CRNA. The NPI Number for Clarence Hughes Wagoner JR. is 1235126400 and holds a License No. 059528 (North Carolina).

The current practice location address for Clarence Hughes Wagoner JR. is 401 N. Main St., Kenansville, NC and can be reached out via phone at 910-296-2608 and via fax at 910-296-1174.

Location: 401 N. Main St., Kenansville, NC, 28349-0278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235126400
Provider Name
Clarence Hughes Wagoner JR.
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
401 N. Main St., Kenansville, NC, 28349-0278
Phone Number
910-296-2608
Fax Number
910-296-1174
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8051164 05 NC
institution
Provider Business Practice Location Address Details
Address
401 N. Main St.
City
Kenansville
State
North Carolina
Zip
28349-0278
Phone Number
910-296-2608
Fax Number
910-296-1174
person
Provider Business Mailing Address Details
Address
401 N. Main St.
City
Kenansville
State
North Carolina
Zip
28349-0278
Phone Number
910-296-2608
Fax Number
910-296-1174
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
059528 (North Carolina)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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