Individual
MS. RUTH E. LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
184097
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
NP101-0024580
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP2526
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/04/2007
Last updated
09/28/2010
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