Healthcare Provider Details

I. General information

NPI: 1124985544
Provider Name (Legal Business Name): ALAINA MICHELLE STRETCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11911 S MEMORIAL DR
BIXBY OK
74008-2030
US

IV. Provider business mailing address

6620 S DATE AVE
BROKEN ARROW OK
74011-6619
US

V. Phone/Fax

Practice location:
  • Phone: 918-943-3790
  • Fax:
Mailing address:
  • Phone: 918-348-8530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number226831
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: