MEDICARE: MRS. AMANDA LYNN LOYER

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	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	50.006871RX	OH

General Provider Information

NPI Number	:	1952922239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMANDA LYNN LOYER

Provider Business Mailing Address
First Line	:	815 COUNTRY CREEK DR
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-6454
Country	:	US
Telephone Number	:	440-567-1050
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 COUNTRY CREEK DR
Second Line	:
City	:	FINDLAY
State	:	OH
Zip	:	45840-6454
Country	:	US
Telephone Number	:	440-567-1050
Fax Number	:

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

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	12/31/2024

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