Individual
MRS. TRACY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 S MILL ST, PRYOR, OK 74361-5221
(918) 825-3777
(918) 825-3776
Mailing address
211 S MILL ST, PRYOR, OK 74361-5221
(918) 825-3777
(918) 825-3776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0998144-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0998144-NP
CO
363LF0000X
Family Nurse Practitioner
R0110549
OK
Other
Enumeration date
05/09/2012
Last updated
08/05/2024
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