Individual
ASHTON MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
(423) 360-6227
Mailing address
1041 E SULLIVAN ST, KINGSPORT, TN 37660-5242
(423) 360-6227
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000180294
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3911774
MEDICARE
TN
01
—
B58933
UPIN
TN
Enumeration date
05/16/2013
Last updated
05/16/2013
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