Individual
ALYSSA MARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
102 NW 31ST ST, LAWTON, OK 73505-6100
(580) 353-6790
Mailing address
4454 NW WOLFCREEK BLVD, LAWTON, OK 73505-4919
(580) 678-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211636
OK
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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