NPI
Patricia Jeanette De Loyal
NPI 1083081582
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2015-09-01
- Last updated
- 2023-01-05
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Specialties
Licenses
- License MN
- 12696
Location
- Practice location
- 1805 Hennepin Ave N
- City
- Glencoe MN
- Postal code
- 55336
- Phone
- (320) 864-3121
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Glencoe, MN. 159 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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