Provider Demographics
NPI:1760681829
Name:LOUGHREN, ELIZABETH S (RN)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:S
Last Name:LOUGHREN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:S
Other - Last Name:PANELLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:443 PAINTER HILL RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13830-3218
Mailing Address - Country:US
Mailing Address - Phone:607-843-9099
Mailing Address - Fax:607-843-9099
Practice Address - Street 1:766 OLD TURNPIKE RD
Practice Address - Street 2:IN CARE OF DR WM THOMAS
Practice Address - City:SHERBURNE
Practice Address - State:NY
Practice Address - Zip Code:12484
Practice Address - Country:US
Practice Address - Phone:607-674-5016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4567201163WM0705X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WP0200XNursing Service ProvidersRegistered NursePediatrics