Individual
MISS MARY ELLEN LOYALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
76 PEACHTREE RD, SUITE 300, ASHEVILLE, NC 28803-3395
(828) 274-3477
(828) 274-7407
Mailing address
50 SCHENCK PKWY, SUITE 300, ASHEVILLE, NC 28803-3499
(828) 681-1527
(828) 681-1575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
282727
NC
367500000X
Certified Registered Nurse Anesthetist
30005656APRN
KY
367500000X
Certified Registered Nurse Anesthetist
3207
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000709989
BCBS
KY
05
—
7100060170
—
KY
Enumeration date
06/05/2007
Last updated
01/16/2017
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