Individual
NICOLE L LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
158 COL CASEY DR, COLUMBIA, KY 42728-5319
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011590
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100496990
—
KY
Enumeration date
09/28/2017
Last updated
06/10/2021
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