Individual
RACHELLE DENISE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4041 SE BEDFORD CIR, LAWTON, OK 73501-6570
(580) 583-4241
Mailing address
4041 SE BEDFORD CIR, LAWTON, OK 73501-6570
(580) 583-4241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
69398
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69398
NURSING LICENSE
OK
Enumeration date
03/07/2012
Last updated
03/07/2012
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