Provider Demographics
NPI:1760792386
Name:HERMANN, JAMES HOWARD JR (CRNA, MSN)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HOWARD
Last Name:HERMANN
Suffix:JR
Gender:M
Credentials:CRNA, MSN
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Mailing Address - Street 1:2131 S. 17TH STREET
Mailing Address - Street 2:NEW HANOVER REGIONAL MEDICAL CENTER ANESTHESIA DEPT
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7407
Mailing Address - Country:US
Mailing Address - Phone:910-343-7128
Mailing Address - Fax:910-772-9452
Practice Address - Street 1:2131 S. 17TH STREET
Practice Address - Street 2:NEW HANOVER REGIONAL MEDICAL CENTER ANESTHESIA DEPT
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7407
Practice Address - Country:US
Practice Address - Phone:910-343-7128
Practice Address - Fax:910-772-9452
Is Sole Proprietor?:No
Enumeration Date:2010-10-15
Last Update Date:2021-03-17
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Provider Licenses
StateLicense IDTaxonomies
NC188384163W00000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse