Provider Demographics
NPI:1134836547
Name:LOYD, ALEXANDRIA JO
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:JO
Last Name:LOYD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8642 SCOTTS FORK BONNIE RD
Mailing Address - Street 2:
Mailing Address - City:EXCHANGE
Mailing Address - State:WV
Mailing Address - Zip Code:26619-7107
Mailing Address - Country:US
Mailing Address - Phone:304-678-9193
Mailing Address - Fax:
Practice Address - Street 1:8642 SCOTTS FORK BONNIE RD
Practice Address - Street 2:
Practice Address - City:EXCHANGE
Practice Address - State:WV
Practice Address - Zip Code:26619-7107
Practice Address - Country:US
Practice Address - Phone:304-678-9193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant