MEDICARE: ELIZABETH ANN LOIKA ARNP

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	363L00000X	Nurse Practitioner	ARNP 9209497	FL
2	363LF0000X	Family Nurse Practitioner	AP124556	TX

General Provider Information

NPI Number	:	1033200647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANN LOIKA ARNP

Provider Business Mailing Address
First Line	:	5301 ROSS RD
Second Line	:
City	:	DEL VALLE
State	:	TX
Zip	:	78617-3288
Country	:	US
Telephone Number	:	512-386-3335
Fax Number	:	512-386-3333

Provider Business Practice Location Address
First Line	:	5301 ROSS RD
Second Line	:
City	:	DEL VALLE
State	:	TX
Zip	:	78617-3288
Country	:	US
Telephone Number	:	512-386-3335
Fax Number	:	512-386-3333

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

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/22/2015

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