Provider Demographics
NPI:1619786555
Name:LOOP, CHRISTIE (RN, NC-BC)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:LOOP
Suffix:
Gender:F
Credentials:RN, NC-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13265 CLEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-4181
Mailing Address - Country:US
Mailing Address - Phone:936-499-8986
Mailing Address - Fax:
Practice Address - Street 1:13265 CLEVELAND RD
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-4181
Practice Address - Country:US
Practice Address - Phone:936-499-8986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX756244163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care