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NPI Code Detail

MEDICARE: ANOLYNN LOUDERMILK NP-C

MEDICARE: ANOLYNN LOUDERMILK NP-C
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
1363LF0000XFamily Nurse PractitionerAP131374TX

General Provider Information

NPI Number : 1306391297
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANOLYNN LOUDERMILK NP-C
Provider Business Mailing Address
First Line : 261 N ROOSEVELT AVE
Second Line :
City : CHANDLER
State : AZ
Zip : 85226-2617
Country : US
Telephone Number : 480-677-8282
Fax Number : 888-316-1686
Provider Business Practice Location Address
First Line : 3300 E BROAD ST STE 144B
Second Line :
City : MANSFIELD
State : TX
Zip : 76063-5629
Country : US
Telephone Number : 214-444-0444
Fax Number : 888-316-1686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2016
Last Update Date : 06/22/2026

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