Individual
JENNIFER SUE LOFLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 272-8373
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 272-8373
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
182904
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
95001587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077702
CRNA LICENSE
NC
01
—
182904
RN LICENSE
NC
Enumeration date
07/27/2007
Last updated
11/08/2021
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