Healthcare Provider Details

I. General information

NPI: 1992323745
Provider Name (Legal Business Name): ASHLEY OLIVIA MARTIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 SOCIAL ST
WOONSOCKET RI
02895-3240
US

IV. Provider business mailing address

124 FLORA AVE
WOONSOCKET RI
02895-6615
US

V. Phone/Fax

Practice location:
  • Phone: 401-597-6500
  • Fax: 401-597-6509
Mailing address:
  • Phone: 401-426-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN02378
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN02378
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: