Individual
MRS. MARY KATHERINE RANCHHOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN - CNP
Contact information
Practice address
6465 S YALE AVE STE 804, TULSA, OK 74136-7810
(918) 502-3550
(918) 502-3555
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
113593
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13593
OKLAHOMA STATE BOARD OF NURSING
OK
05
—
201070610A
—
OK
01
—
2019082057
ANCC
OK
Enumeration date
04/09/2020
Last updated
06/20/2022
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