Individual
MRS. MARY ANNE LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1011 S EAST ST, MOUNT VERNON, MO 65712-1331
(417) 466-7191
(417) 466-3876
Mailing address
1011 S EAST ST, MOUNT VERNON, MO 65712-1331
(417) 466-7191
(417) 466-3876
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2013000293
MO
363LP2300X
Primary Care Nurse Practitioner
1417294828
MO
Other
Enumeration date
01/07/2013
Last updated
09/13/2016
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