Individual
MARTHA CHEATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2321 E 3RD ST, TULSA, OK 74104-1831
(918) 622-0641
(918) 622-4814
Mailing address
2321 E 3RD ST, TULSA, OK 74104-1831
(918) 622-0641
(918) 622-4814
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0992829-NP
CO
363L00000X
Nurse Practitioner
R0040907
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075010A
—
OK
Enumeration date
06/13/2006
Last updated
02/12/2018
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