Individual
ASHLEY A VAN LOENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P
Contact information
Practice address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Mailing address
151 N MAIN ST, DECATUR, IL 62523-1206
(217) 362-6262
(217) 362-6290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
277-000235
IL
363LF0000X
Family Nurse Practitioner
Primary
277000235
IL
363LP2300X
Primary Care Nurse Practitioner
277-000235
IL
Other
Enumeration date
02/20/2013
Last updated
01/23/2026
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