Individual provider · Type 1 NPI
Clarence Hughes Wagoner Jr., CRNA
Certified Registered Nurse Anesthetist · Kenansville, NC
Practice location
401 N. Main St.
Kenansville, NC 28349-0278
Fax (910) 296-1174
Mailing address
PO Box 278
Kenansville, NC 28349-0278
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 059528 (NC) |
Certified Registered Nurse Anesthetist: (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 creden…
2 other providers at this address
About NPI 1235126400
Clarence Hughes Wagoner Jr., CRNA's National Provider Identifier is 1235126400, issued on Oct 4, 2005. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Kenansville, NC. The record was last updated on Aug 24, 2009.