Individual
THOMAS JAMES O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1705 TARBORO ST SW, WILSON, NC 27893-3428
(252) 399-8688
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430073189
RAILROAD-MEDICARE
NC
05
—
8051565
—
NC
Enumeration date
02/28/2007
Last updated
04/12/2026
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