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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY B MARTIN, NP

Active

MALLORY B MARTIN, NP is a Family Nurse Practitioner healthcare provider located in EDMOND, Oklahoma. NPI 1073154787 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · EDMOND, OK

Registration Details

NPI Number
1073154787
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2019 (6.8467054324556 yrs)
Last Updated
Mar 16, 2021
Licenses
113578 (OK)
1257 (CO)

Practice Information

Address
2417 NW 174TH ST
EDMOND, OK, 730127108
Browse OK providers · Browse ZIP 73012
Phone
4052556706
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in EDMOND, OK

Name Credential NPI
WENDY LOUISE PARKS ARNP 1346248473
JACQUELINE R JOHNSON 1689612939
MR. GARY SEYMOUR NP 1992744486
MRS. JENNIFER MARIE FAY DAMITSIAN NP 1609939255
MRS. MELISA DAWN WEAVER ARNP 1033240056
MRS. APRIL D GENTRY FNP-C 1952527079
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.