Provider Demographics
NPI:1891295341
Name:LOYA, BRANDI R (RN, BSN)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:R
Last Name:LOYA
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 HORSE FALL RD
Mailing Address - Street 2:
Mailing Address - City:TUSCOLA
Mailing Address - State:TX
Mailing Address - Zip Code:79562-2767
Mailing Address - Country:US
Mailing Address - Phone:806-777-6315
Mailing Address - Fax:
Practice Address - Street 1:165 HORSE FALL RD
Practice Address - Street 2:
Practice Address - City:TUSCOLA
Practice Address - State:TX
Practice Address - Zip Code:79562-2767
Practice Address - Country:US
Practice Address - Phone:806-777-6315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX883865163W00000X
TX1006376363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse