Provider Demographics
NPI:1811053226
Name:LOIA, NANCY ANN (RN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN
Last Name:LOIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7930 HADDON HALL WAY
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-8456
Mailing Address - Country:US
Mailing Address - Phone:315-635-4886
Mailing Address - Fax:
Practice Address - Street 1:7930 HADDON HALL WAY
Practice Address - Street 2:
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-8456
Practice Address - Country:US
Practice Address - Phone:315-635-4886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326449-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02155508Medicaid