IndividualActive
Mckenzie Martin
NPI 1144088048 · Gerontology Nurse Practitioner · Lawton, OK
Provider details
- NPI number
- 1144088048
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 219833 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
104 Nw 31st St
Lawton, OK 73505-6100
Phone: (805) 362-1215
Approximate (ZIP-level) locationGet directions
Mailing address
8005 Nw Norwick Ave
Lawton, OK 73505-4033
Registry dates
- Enumerated
- 2024-03-06
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.