Doctor Name: | MS. RUTH E. LOOMIS |
NPI Number: | 1144342726 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 184097 |
Business Practice Address: | 2582 South Rd Marlboro, VT - 053449801 |
Business Phone Number: | 8022574333 |
Business Fax Number: | 8022517604 |
Mailing Address: | 40 Shippee Rd, ROWE |
State: | MA |
Postal Code: | 013679715 |
Phone Number: | 4133394302 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2007 |
NPI Last Update Date: | 09/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 184097 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |