Provider Demographics
NPI:1407366123
Name:LOIACONO, ARIELE N (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ARIELE
Middle Name:N
Last Name:LOIACONO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:ARIELE
Other - Middle Name:N
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1616 TINA DR
Mailing Address - Street 2:
Mailing Address - City:MURPHYSBORO
Mailing Address - State:IL
Mailing Address - Zip Code:62966-2510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 N WASHINGTON STREET
Practice Address - Street 2:KUEHN MEDICAL BUILDING
Practice Address - City:DUQUOIN
Practice Address - State:IL
Practice Address - Zip Code:62832
Practice Address - Country:US
Practice Address - Phone:618-542-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-08
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209016718363LP0808X
IL209.016718363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health