Individual
GAYLE LOOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1000 ASYLUM AVE, STE 3216 PRIME HEALTHCARE, HARTFORD, CT 06105-1770
(860) 247-2137
(860) 728-0480
Mailing address
30 JORDAN LN, PRIME HEALTHCARE, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0002531
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002531
MEDICAL LICENSE
CT
05
—
004219714
—
CT
01
—
400002531CT01
BCBS
CT
Enumeration date
12/23/2005
Last updated
03/07/2023
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