Provider Demographics
NPI:1386192326
Name:LOANE, ASHLEY E (NP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:E
Last Name:LOANE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 BARCLAY CIR STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-5816
Mailing Address - Country:US
Mailing Address - Phone:248-216-1008
Mailing Address - Fax:855-711-5063
Practice Address - Street 1:355 BARCLAY CIR STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-5816
Practice Address - Country:US
Practice Address - Phone:248-216-1008
Practice Address - Fax:855-711-5063
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704293846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily