Traci Loa, APRN, FNP-C | |
221 S Jack Kultgen Expy, Waco, TX 76706-1046 | |
(254) 709-8051 | |
Not Available |
Full Name | Traci Loa |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 221 S Jack Kultgen Expy, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467232603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 851021 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 150249 (Texas) | Primary |
Entity Name | Legacy Urgent Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
Mailing Address | Practice Location Address |
---|---|
Traci Loa, APRN, FNP-C 904 N Bunker Dr, Robinson, TX 76706-5067 Ph: (254) 709-8051 | Traci Loa, APRN, FNP-C 221 S Jack Kultgen Expy, Waco, TX 76706-1046 Ph: (254) 709-8051 |
Leslie P Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1800 Gurley Lane, Waco, TX 76706 Phone: 254-313-6000 Fax: 254-313-4531 | |
Eidel Nerli Adams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 | |
Karen Church, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 611 W Hwy 6 Ste 101, Waco, TX 76710 Phone: 254-755-4582 | |
Emily Heeringa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Jared Blake Griffin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2900 | |
Dallas Leigh Upchurch, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 345 Owen Ln Ste 144a, Waco, TX 76710 Phone: 254-300-4072 Fax: 254-362-2064 | |
Andrea Denise Nemec, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-5300 |