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NPI Code Detail

MEDICARE: RACHEL LOYD LPN

MEDICARE: RACHEL LOYD LPN
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
1164W00000XLicensed Practical Nurse050357MO

General Provider Information

NPI Number : 1932228368
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LOYD LPN
Provider Business Mailing Address
First Line : 900 E LAHARPE ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4520
Country : US
Telephone Number : 660-665-1962
Fax Number : 660-665-3989
Provider Business Practice Location Address
First Line : 1628 OKLAHOMA AVE
Second Line :
City : TRENTON
State : MO
Zip : 64683-2565
Country : US
Telephone Number : 660-359-4600
Fax Number : 660-359-4286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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