IndividualActive
Alexandria Ervin, PA
NPI 1770076051 · Physician Assistant · Yukon, OK
Provider details
- NPI number
- 1770076051
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 2940 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
301 S Mustang Rd
Yukon, OK 73099-6704
Phone: (405) 324-1911
Approximate (ZIP-level) locationGet directions
Mailing address
19453 Vista Ave
Edmond, OK 73012-3528
Additional practice locations (1)
- 300 Rockefeller DrMuskogee, OK 74401-5075Phone: (918) 684-2420Fax: (918) 502-7573
Registry dates
- Enumerated
- 2018-06-11
- Last updated
- 2024-07-03
- Certified
- 2024-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.