Individual
DENISEE TISH LOYOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 9TH ST SW STE 3400, WAVERLY, IA 50677-2929
(319) 236-1911
(319) 287-5832
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A186757
IA
363LF0000X
Family Nurse Practitioner
A186757
IA
Other
Enumeration date
09/08/2025
Last updated
11/11/2025
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