Provider Demographics
NPI:1487730396
Name:D'AQUILA-LLOYD, EDITH MARGARET (FNP)
Entity type:Individual
Prefix:MRS
First Name:EDITH
Middle Name:MARGARET
Last Name:D'AQUILA-LLOYD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 ALEXANDER PL
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9139
Mailing Address - Country:US
Mailing Address - Phone:910-448-0638
Mailing Address - Fax:910-406-5686
Practice Address - Street 1:13A BIRMINGHAM ST
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28480-2845
Practice Address - Country:US
Practice Address - Phone:423-598-2200
Practice Address - Fax:910-406-5686
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9230325363LF0000X
NC200934363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP 9230325OtherNURSE PRACTITIONER LICENS