Provider Demographics
NPI:1114914462
Name:LOEHR, VELMA LAVERNE (WHCNP)
Entity Type:Individual
Prefix:
First Name:VELMA
Middle Name:LAVERNE
Last Name:LOEHR
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7173 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47448-8582
Mailing Address - Country:US
Mailing Address - Phone:724-984-3406
Mailing Address - Fax:
Practice Address - Street 1:7173 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:IN
Practice Address - Zip Code:47448-8582
Practice Address - Country:US
Practice Address - Phone:724-984-3406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP00516OV363LW0102X
IN71003405A363LW0102X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN029106Medicaid
IN1114914462Medicare UPIN
IN029106Medicaid