Individual
AUTUMN DETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNM
Contact information
Practice address
4200 W MEMORIAL RD STE 901, OKLAHOMA CITY, OK 73120-8378
(405) 242-4030
(405) 242-4031
Mailing address
4200 W MEMORIAL RD STE 901, OKLAHOMA CITY, OK 73120-8378
(405) 242-4030
(405) 242-4031
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
217320
OK
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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