Provider Demographics
NPI:1164198313
Name:JOSEPH, LOVELY (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LOVELY
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:LOVELY
Other - Middle Name:
Other - Last Name:KURIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2413 BEAR CUB BND
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5046
Mailing Address - Country:US
Mailing Address - Phone:702-818-0962
Mailing Address - Fax:
Practice Address - Street 1:220 S FM 1626
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-9432
Practice Address - Country:US
Practice Address - Phone:512-295-2437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145390363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP145390OtherTEXAS STATE BOARD OF NURSING