IndividualActive
Alison Medina, PA-C
NPI 1447017769 · Physician Assistant · Tahlequah, OK
Provider details
- NPI number
- 1447017769
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3100
Approximate (ZIP-level) locationGet directions
Mailing address
100 S Bliss Ave
Tahlequah, OK 74464-2512
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2024-10-14
- Certified
- 2024-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.