Organization
GREEN LIFE HEALTH AND WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI CHANTEL MARTIN NP (OWNER)
(405) 464-9370
Entity
Organization
Contact information
Practice address
218 W MAIN ST, PURCELL, OK 73080-4222
(405) 464-9370
Mailing address
218 W MAIN ST, PURCELL, OK 73080-4222
(405) 464-9370
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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