Individual
BRYNN LANE STOFFERAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
1120 S 2ND ST APT 412, MINNEAPOLIS, MN 55415-1366
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2443102
MN
367500000X
Certified Registered Nurse Anesthetist
327459
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6458
NC
Other
Enumeration date
09/05/2017
Last updated
10/01/2025
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