Provider Demographics
NPI:1811071335
Name:OBRIEN, JAMES AUGUSTINE (CRNA MSN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:AUGUSTINE
Last Name:OBRIEN
Suffix:
Gender:M
Credentials:CRNA MSN
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Mailing Address - Street 1:104 CONWAY COURT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9400
Mailing Address - Country:US
Mailing Address - Phone:919-467-7216
Mailing Address - Fax:
Practice Address - Street 1:3000 NEW BERN AVE
Practice Address - Street 2:WAKE MED HOSP CRITICAL HEALTH SYSTEMS OF NORTH CAROLINA
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-9400
Practice Address - Country:US
Practice Address - Phone:919-350-8820
Practice Address - Fax:919-350-7385
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NCRN157538367500000X
NC072176367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered