Healthcare Provider Details

I. General information

NPI: 1154362960
Provider Name (Legal Business Name): LOREEN ELIZABETH AIKEN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 NEUSE BLVD
NEW BERN NC
28560-3449
US

IV. Provider business mailing address

2000 NEUSE BLVD
NEW BERN NC
28560-3449
US

V. Phone/Fax

Practice location:
  • Phone: 252-633-8640
  • Fax: 252-636-5376
Mailing address:
  • Phone: 252-633-8640
  • Fax: 252-636-5376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number131478
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number001070
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: