Individual provider · Type 1 NPI
Marcia Brady Loughran, FNP
Family Nurse Practitioner · Shrub Oak, NY
NPI number
1790843548
Active
Practice location
31-51 Stoney St., Pheonix House
Shrub Oak, NY 10058
Mailing address
2168 19th St, Apt 1
Astoria, NY 11105-3933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F332129-1 (NY) |
Family Nurse Practitioner: Definition to come...
About NPI 1790843548
Marcia Brady Loughran, FNP's National Provider Identifier is 1790843548, issued on Dec 5, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shrub Oak, NY. The record was last updated on Jul 8, 2007.