Provider Demographics
NPI:1457002446
Name:MARTIN, ASHTON WHITNEY (RN)
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:WHITNEY
Last Name:MARTIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 E BELTLINE
Mailing Address - Street 2:
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-2337
Mailing Address - Country:US
Mailing Address - Phone:218-262-6140
Mailing Address - Fax:
Practice Address - Street 1:3517 E BELTLINE
Practice Address - Street 2:
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-2337
Practice Address - Country:US
Practice Address - Phone:218-262-6140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2472986163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice