Healthcare Provider Details

I. General information

NPI: 1477014330
Provider Name (Legal Business Name): CINDY LOUISE SCHOFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY LOUISE LOWTHER

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 S 17TH ST
WILMINGTON NC
28401-7407
US

IV. Provider business mailing address

2131 S 17TH ST
WILMINGTON NC
28401-7407
US

V. Phone/Fax

Practice location:
  • Phone: 910-667-7000
  • Fax:
Mailing address:
  • Phone: 910-343-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number238536
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number238536
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6152
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: