Provider Demographics
NPI:1578635942
Name:SORRELL, JAMES FRANKLIN II (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:SORRELL
Suffix:II
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:5030 S 79TH AVE
Mailing Address - Street 2:
Mailing Address - City:RALSTON
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2707
Mailing Address - Country:US
Mailing Address - Phone:402-551-2909
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEBRASKA MEDICAL CTR
Practice Address - Street 2:600 SOUTH 42ND STREET
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-0001
Practice Address - Country:US
Practice Address - Phone:402-559-4081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE100106367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered