Individual
LOUANN M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1650 MAIN ST, WOODWARD, OK 73801-3046
(580) 571-8048
(580) 571-8085
Mailing address
1415 N WATTS, SAYRE, OK 73662-1310
(580) 928-2044
(580) 928-5660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
64327
OK
363LF0000X
Family Nurse Practitioner
Primary
R0064327
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200135740A
—
OK
Enumeration date
01/23/2008
Last updated
10/20/2017
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