Provider Demographics
NPI:1346519360
Name:LOIACANO, JANICE (RN)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:LOIACANO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PONDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-6804
Mailing Address - Country:US
Mailing Address - Phone:631-225-5875
Mailing Address - Fax:
Practice Address - Street 1:5 PONDVIEW DR
Practice Address - Street 2:
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-6804
Practice Address - Country:US
Practice Address - Phone:631-225-5875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY604711163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse