Provider Demographics
NPI:1942440797
Name:LOEFFLER, JOANN M (APRNC)
Entity Type:Individual
Prefix:
First Name:JOANN
Middle Name:M
Last Name:LOEFFLER
Suffix:
Gender:F
Credentials:APRNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5026 READING AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-4414
Mailing Address - Country:US
Mailing Address - Phone:609-412-0211
Mailing Address - Fax:
Practice Address - Street 1:5026 READING AVE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-4414
Practice Address - Country:US
Practice Address - Phone:609-412-0211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08820500363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health