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Autumn Detrick, APRN-CNM

NPI 1588537872 · on the registry since 2025

Practice

Address
4200 W Memorial Rd Ste 901
Oklahoma City, OK 73120
Phone
(405) 242-4030
Fax
(405) 242-4031
Organisation at this address
Labone Llc
Ali S. Zaza M.D.
Michael Mcginnis
Basel Hassoun, Inc
Sheth Pain Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
73

Registry record

Primary taxonomy
367A00000X
367A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma