Individual provider · Type 1 NPI
Ashley Anne Martin
Gerontology Nurse Practitioner · Peoria, IL
NPI number
1750290169
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
215 Delavan St
Lincoln, IL 62656-1603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209035976 (IL) |
| Acute Care Nurse Practitioner | 363LA2100X | 209035976 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1750290169
Ashley Anne Martin's National Provider Identifier is 1750290169, issued on Sep 2, 2026. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Peoria, IL. The record was last updated on Sep 22, 2026.