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NPI Code Detail

MEDICARE: MR. JAMES HOWARD HERMANN JR. CRNA, MSN

MEDICARE: MR. JAMES HOWARD HERMANN JR. CRNA, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse188384NC
2367500000XCertified Registered Nurse Anesthetist2138NC
3367500000XCertified Registered Nurse Anesthetist188384NC

General Provider Information

NPI Number : 1760792386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES HOWARD HERMANN JR. CRNA, MSN
Provider Business Mailing Address
First Line : 2131 S. 17TH STREET
Second Line : NEW HANOVER REGIONAL MEDICAL CENTER ANESTHESIA DEPT
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 910-343-7128
Fax Number : 910-772-9452
Provider Business Practice Location Address
First Line : 2131 S. 17TH STREET
Second Line : NEW HANOVER REGIONAL MEDICAL CENTER ANESTHESIA DEPT
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 910-343-7128
Fax Number : 910-772-9452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2010
Last Update Date : 01/12/2026

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