Individual
AMBER GABRIELLE MARQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
7715 E 91ST ST STE C2, TULSA, OK 74133-6067
(918) 551-6403
Mailing address
7715 E 91ST ST STE C2, TULSA, OK 74133-6067
(918) 551-6403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4477
OK
363AM0700X
Medical Physician Assistant
4477
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
03/26/2025
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