Individual
BONNIE ANNE LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459-4780
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.402108
OH
363L00000X
Nurse Practitioner
024764
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365931
—
OH
Enumeration date
03/07/2019
Last updated
01/07/2022
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