Individual
MS. ALEXANDRA KAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-5266
Mailing address
1200 CHILDRENS AVE STE 4D, OKLAHOMA CITY, OK 73104-4637
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0113709
OK
363LP0200X
Pediatric Nurse Practitioner
Primary
R0113709
OK
Other
Enumeration date
05/22/2017
Last updated
08/05/2024
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