Individual
CASSIDI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP-F
Contact information
Practice address
4631 N MAY AVE, OKLAHOMA CITY, OK 73112-6052
(405) 604-0004
Mailing address
4631 N MAY AVE, OKLAHOMA CITY, OK 73112-6052
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1692409
CO
163W00000X
Registered Nurse
R0117104
OK
363LF0000X
Family Nurse Practitioner
0999125
CO
363LF0000X
Family Nurse Practitioner
Primary
211619
OK
Other
Enumeration date
01/25/2023
Last updated
01/20/2026
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