Provider Demographics
NPI:1427563428
Name:GREER, MARTHA E (NP)
Entity Type:Individual
Prefix:
First Name:MARTHA
Middle Name:E
Last Name:GREER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 OLD 270 W
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-6465
Mailing Address - Country:US
Mailing Address - Phone:580-212-0605
Mailing Address - Fax:
Practice Address - Street 1:500 VILLAGE BLVD STE C
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-2078
Practice Address - Country:US
Practice Address - Phone:918-302-0700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0107112363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health