Individual
COOPER HEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-7000
Mailing address
1809 PRESTWICK CLOSE, WILMINGTON, NC 28405-4113
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
315062
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
153699
NC
Other
Enumeration date
08/30/2023
Last updated
05/18/2025
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