Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | F340116-1 | NY |
NPI | 1023437753 |
---|---|
Provider Name | Dr. Sheree L Loftus |
First Address | Memphis, TN 38103-5513 |
Second Address | Pleasantville,, NY 10570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 02/09/2021 |