Individual
MRS. CARRIE A. LOFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN, ACNP-BC
Contact information
Practice address
3131 LA CANADA ST STE 140, LAS VEGAS, NV 89169-2579
(702) 933-9400
(702) 933-9444
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.340803
IL
363L00000X
Nurse Practitioner
815854
NV
363LA2100X
Acute Care Nurse Practitioner
209.008547
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
815854
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720371669
GROUP PRACTICE NPI
IL
01
—
F400094779
MEDICARE PTAN LOC 16
IL
01
—
F400094782
MEDICARE PTAN LOC 15
IL
Enumeration date
08/24/2011
Last updated
10/25/2022
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