Individual
MRS. PENNY MARIE LOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Mailing address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2836
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN 2836
STATE LICENSE
SC
Enumeration date
10/03/2006
Last updated
02/01/2023
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