Provider Demographics
NPI:1306881453
Name:LLOYD, NOREEN J (CNP)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:J
Last Name:LLOYD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:498 N SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MINA
Mailing Address - State:SD
Mailing Address - Zip Code:57451-3026
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1440 15TH AVE NW
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-1846
Practice Address - Country:US
Practice Address - Phone:605-622-2640
Practice Address - Fax:605-622-2647
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD0329363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDP44073Medicare UPIN