MEDICARE: JOANN M LOEFFLER APRNC

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	363LA2200X	Adult Health Nurse Practitioner	26NN08820500	NJ

General Provider Information

NPI Number	:	1942440797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN M LOEFFLER APRNC

Provider Business Mailing Address
First Line	:	5026 READING AVE
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-4414
Country	:	US
Telephone Number	:	609-412-0211
Fax Number	:

Provider Business Practice Location Address
First Line	:	5026 READING AVE
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-4414
Country	:	US
Telephone Number	:	609-412-0211
Fax Number	:

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

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	03/05/2009

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