Individual
TAMARA LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD, BEAUMONT EMERGENCY SERVICES, TROY, MI 48085-1117
(248) 964-5111
(248) 964-5068
Mailing address
152 PIONEER LN, STE H, BISHOP, CA 93514-2563
(248) 577-3511
(248) 577-3526
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704301265
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
95000071
CA
Other
Enumeration date
03/31/2014
Last updated
09/17/2019
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