Individual
ELENA LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6111 W AMARILLO BLVD, AMARILLO, TX 79106-1901
(806) 352-9090
(806) 340-7961
Mailing address
PO BOX 51733, AMARILLO, TX 79159-1733
(806) 352-9090
(806) 340-7961
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP127808
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05334004
—
NM
05
—
200589480 A
—
OK
05
—
348597101
—
TX
05
—
348597102
—
TX
Enumeration date
04/06/2015
Last updated
11/08/2016
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