Mr. Clarence Hughes Wagoner Jr. is a Kenansville, North Carolina based nurse anesthetist who is specialized as Anesthesia Administration nurse. Active license number of Mr. Clarence Hughes Wagoner Jr. is 059528 for Anesthesia Administration in North Carolina. his current practice location is 401 N. Main St., Kenansville. Patients can reach him at 910-296-2608 or can fax him at 910-296-1174. Mr. Clarence Hughes Wagoner Jr. is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1235126400. Mr. Clarence Hughes Wagoner Jr. is a certified 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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Clarence Hughes Wagoner Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Gender:
Male
Practice Address:
401 N. Main St., Kenansville, North Carolina, 28349-0278
Phone:
910-296-2608
Fax:
910-296-1174
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1235126400
NPI Enumeration Date:
04 Oct, 2005
NPI Last Update On:
24 Aug, 2009
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Clarence Hughes Wagoner Jr. are as mentioned below.
License Number
Specialization
State
Status
059528
Anesthesia Administration
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Clarence Hughes Wagoner Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8051164
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 278, Kenansville, North Carolina
Zip:
28349-0278
Phone Number:
910-296-2608
Fax Number:
910-296-1174
Patients can reach Mr. Clarence Hughes Wagoner Jr. at 401 N. Main St., Kenansville, North Carolina or can call to book an appointment on 910-296-2608.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.