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NPI Code Detail

MEDICARE: MR. JAMES AUGUSTINE OBRIEN CRNA MSN

MEDICARE: MR. JAMES AUGUSTINE OBRIEN 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
1367500000XCertified Registered Nurse Anesthetist072176NC
2367500000XCertified Registered Nurse AnesthetistRN157538NC
3367500000XCertified Registered Nurse Anesthetist0024168753VA

General Provider Information

NPI Number : 1811071335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES AUGUSTINE OBRIEN CRNA MSN
Provider Business Mailing Address
First Line : 104 CONWAY CT
Second Line :
City : CARY
State : NC
Zip : 27513-9400
Country : US
Telephone Number : 919-467-7216
Fax Number :
Provider Business Practice Location Address
First Line : 2 BERNARDINE DR
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-4404
Country : US
Telephone Number : 757-886-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 03/19/2026

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