Healthcare Provider Details

I. General information

NPI: 1386192326
Provider Name (Legal Business Name): ASHLEY E LOANE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2016
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 BARCLAY CIR STE A
ROCHESTER HILLS MI
48307-5816
US

IV. Provider business mailing address

355 BARCLAY CIR STE A
ROCHESTER HILLS MI
48307-5816
US

V. Phone/Fax

Practice location:
  • Phone: 248-216-1008
  • Fax: 855-711-5063
Mailing address:
  • Phone: 248-216-1008
  • Fax: 855-711-5063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704293846
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: