Provider Demographics
NPI:1982075339
Name:ANDERSON, LOREN (APRN)
Entity type:Individual
Prefix:
First Name:LOREN
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LOREN
Other - Middle Name:
Other - Last Name:MCQUOWN ANDERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:13777 BELCHER RD S
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4003
Mailing Address - Country:US
Mailing Address - Phone:727-544-1600
Mailing Address - Fax:727-546-9071
Practice Address - Street 1:13777 BELCHER RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4003
Practice Address - Country:US
Practice Address - Phone:727-544-1600
Practice Address - Fax:727-546-9071
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9320288363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily