| Doctor Name: | MRS. FERN ELIZABETH LOOMIS |
| NPI Number: | 1043513948 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | R094567 |
| Business Practice Address: | 13114 Pennsylvania Ave Hagerstown, MD - 217422741 |
| Business Phone Number: | 2403133326 |
| Business Fax Number: | 3017393620 |
| Mailing Address: | 13114 Pennsylvania Ave, HAGERSTOWN |
| State: | MD |
| Postal Code: | 217422741 |
| Phone Number: | 2403133326 |
| Fax Number: | 3017393620 |
| NPI Enumeration Date: | 12/15/2010 |
| NPI Last Update Date: | 12/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | R094567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |