Mallory B Martin
NP | Nurse Practitioner | 6+ years Exp
2417 Nw 174th St, Edmond
Oklahoma, 73012-7108
405-255-6706
Mallory B Martin is a Edmond, Oklahoma based nurse practitioner with 6 years of experience in Nurse Practitioner. She completed her graduation from University Of South Alabama College Of Medicine in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mallory B Martin is 1257 for Family in Colorado. Her current practice location is 2417 Nw 174th St, Edmond. Patients can reach her at 405-255-6706. Mallory B Martin is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1073154787.
Mallory B Martin has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mallory B Martin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mallory B Martin |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 6+ years |
| Medical School Attended: | University Of South Alabama College Of Medicine |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2417 Nw 174th St, Edmond,
Oklahoma, 73012-7108 |
| Phone: | 405-255-6706 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9830518281 |
| Enrollment ID: | I20210322002500 |
| NPI Number: | 1073154787 |
| NPI Enumeration Date: | 03 Oct, 2019 |
| NPI Last Update On: | 16 Mar, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mallory B Martin are as mentioned below.
| License Number | Specialization | State | Status | |
| 1257 | Family | Colorado | Primary | |
| 113578 | Registered Nurse | Oklahoma | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mallory B Martin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Lykos Medical Llc (0941558035) | 6 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mallory B Martin
7610 N Union Blvd Ste 150,
Colorado Springs, Colorado |
| Zip: | 80920-3800 |
| Phone Number: | 719-434-8810 |
| Fax Number: | 519-805-2164 |
Patients can reach Mallory B Martin at
2417 Nw 174th St, Edmond, Oklahoma or can
call to book an appointment on 405-255-6706.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.