| Doctor Name: | MR. MARTIN EDWARD CHRISTENSEN |
| NPI Number: | 1093174708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN CNP |
| License Number: | 82642 |
| Business Practice Address: | 3002 Sw 6th St Newcastle, OK - 730655850 |
| Business Phone Number: | 4053158931 |
| Business Fax Number: | |
| Mailing Address: | 3002 Sw 6th St, NEWCASTLE |
| State: | OK |
| Postal Code: | 730655850 |
| Phone Number: | 4053158931 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2016 |
| NPI Last Update Date: | 05/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 82642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |