MEDICARE: VELMA LAVERNE LOEHR WHCNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	TP00516OV	PA
2	363LW0102X	Women's Health Nurse Practitioner	71003405A	IN
3	363L00000X	Nurse Practitioner	71003405A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114914462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VELMA LAVERNE LOEHR WHCNP

Provider Business Mailing Address
First Line	:	7173 GEORGETOWN RD
Second Line	:
City	:	NASHVILLE
State	:	IN
Zip	:	47448-8582
Country	:	US
Telephone Number	:	724-984-3406
Fax Number	:

Provider Business Practice Location Address
First Line	:	7173 GEORGETOWN RD
Second Line	:
City	:	NASHVILLE
State	:	IN
Zip	:	47448-8582
Country	:	US
Telephone Number	:	724-984-3406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	06/06/2022

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