MEDICARE: LINDA P LOFTIN NP

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	5501	CO

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
2	000000237479	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1205836921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA P LOFTIN NP

Provider Business Mailing Address
First Line	:	1055 CLERMONT ST
Second Line	:	111-C
City	:	DENVER
State	:	CO
Zip	:	80220-3808
Country	:	US
Telephone Number	:	303-399-8020
Fax Number	:	303-393-4611

Provider Business Practice Location Address
First Line	:	1055 CLERMONT ST
Second Line	:	111-C
City	:	DENVER
State	:	CO
Zip	:	80220-3808
Country	:	US
Telephone Number	:	303-399-8020
Fax Number	:	303-393-4611

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

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	06/03/2015

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