Individual
BETTIE LOUGHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
750 EAST ADAMS ST., SYRACUSE, NY 13210
(315) 464-3265
(315) 424-3745
Mailing address
750 EAST ADAMS ST., SYRACUSE, NY 13210-2375
(315) 464-3265
(315) 424-3745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22-605331
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402390
NY
Other
Enumeration date
03/12/2010
Last updated
06/28/2018
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