Doctor Name: | MRS. ANDREA L LOYD |
NPI Number: | 1932341302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP-BC |
License Number: | 683582 |
Business Practice Address: | 711 Titus St Gilmer, TX - 756441738 |
Business Phone Number: | 9038417300 |
Business Fax Number: | |
Mailing Address: | 21877 Bluewater Rd, CHANDLER |
State: | TX |
Postal Code: | 757588050 |
Phone Number: | 9033604956 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2009 |
NPI Last Update Date: | 04/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 683582 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |