Individual
MS. CONNIE SUE LOFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7373
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7373
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014MR
BCBS GROUP BILLING #
NC
01
—
560755775
COMMERCIAL
NC
05
—
8000311
—
NC
05
—
8052384
—
NC
Enumeration date
07/10/2006
Last updated
01/09/2024
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