Individual
WANDA JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ARNP, C-FNP
Contact information
Practice address
1401 E VAN BUREN AVE, MCALESTER, OK 74501
(918) 421-8440
(918) 421-8450
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3333
(918) 488-6687
(918) 488-6098
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
86294
OK
Other
Enumeration date
11/13/2013
Last updated
08/02/2018
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