Provider Demographics
NPI:1255885448
Name:LOFLIN, CHARLOTTE (NP)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:LOFLIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27008
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78755-2008
Mailing Address - Country:US
Mailing Address - Phone:512-981-7246
Mailing Address - Fax:
Practice Address - Street 1:3345 BEE CAVES RD STE 101
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5463
Practice Address - Country:US
Practice Address - Phone:512-981-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-05
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX785062163W00000X
TXAP131928364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No163W00000XNursing Service ProvidersRegistered Nurse