Individual
ASHLEY D GREENWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 854-3223
Mailing address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 854-3223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.024757
IL
Other
Enumeration date
02/10/2022
Last updated
03/02/2026
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