Individual
ASHLEY LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
502 S MORRIS AVE, SUITE D, BLOOMINGTON, IL 61701-4884
(309) 808-2778
(309) 808-2965
Mailing address
502 S MORRIS AVE, SUITE D, BLOOMINGTON, IL 61701-4884
(309) 808-2778
(309) 808-2965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.014528
IL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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