Martin, Susan A

Martin, Susan A is an individual health care provider with primary practice located at 4127 S Florence Ave , Tulsa OK 74105-3743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Martin, Susan A can be contacted via phone (918) 625-3981.

Contact Information

Primary practice address
4127 S Florence Ave Tulsa OK 74105-3743
Phone: (918) 625-3981
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0072841 Oklahoma

Profile Details

NPI number 1073515557
LBN Legal business name Martin, Susan A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 12th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073515557 NPPES
Oklahoma MEDICAID 10078440A
Oklahoma Other 721545605 001
Oklahoma Other 010672601002

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