Individual
CHERYL LOUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
500827
TX
363LN0000X
Neonatal Nurse Practitioner
500827
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP104095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292971-02
—
TX
01
—
500008103
RR/MEDICARE
TX
01
—
82N620
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
10/05/2020
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