Provider Demographics
NPI:1477213577
Name:LOFLIN, ELIZABETH RYAN (APRN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RYAN
Last Name:LOFLIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W BEACH PL APT 2709
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2342
Mailing Address - Country:US
Mailing Address - Phone:828-719-0936
Mailing Address - Fax:
Practice Address - Street 1:10729 QUEENS TOWN DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33579-7186
Practice Address - Country:US
Practice Address - Phone:813-672-3497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-30
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11016220363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics