Individual
MS. SUE C. OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2105 EMERSON RD, KINSTON, NC 28504-1309
(252) 523-8161
(252) 523-8161
Mailing address
2105 EMERSON RD, KINSTON, NC 28504-1309
(252) 523-8161
(252) 523-8161
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
083143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050622
—
NC
01
—
P00679668
RAILROAD MEDICARE
NC
Enumeration date
07/25/2006
Last updated
04/20/2009
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