person
Mrs. Ricki Loar, APN
Gerontology Nurse Practitioner in O Fallon, Illinois
NPI 1194723312

Ricki Loar is a Gerontology Nurse Practitioner based in Chicago, IL and is specialized in Gerontology. Ricki Loar practices in O Fallon, IL and has the professional credentials of APN. The NPI Number for Ricki Loar is 1194723312 and holds a License No. R0086728 (Illinois).

The current practice location address for Ricki Loar is 670 Pierce Blvd, O Fallon, IL and can be reached out via phone at 618-206-2094 and via fax at 618-607-5127.

Location: 670 Pierce Blvd, O Fallon, IL, 60659-3200
person
Provider Profile Details
NPI Number
1194723312
Provider Name
Ricki Loar
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
670 Pierce Blvd, O Fallon, IL, 60659-3200
Phone Number
618-206-2094
Fax Number
618-607-5127
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
670 Pierce Blvd
City
State
Zip
62269-2579
Phone Number
618-206-2094
Fax Number
618-607-5127
person
Provider Business Mailing Address Details
Address
670 Pierce Blvd
City
State
Zip
62269-2579
Phone Number
618-206-2094
Fax Number
618-607-5127
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209001078 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
R0086728 (Oklahoma)
Definition
Definition to come...
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