Individual
REBEKAH ANN FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3460 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2406
(918) 332-3600
Mailing address
396245 W 3250 DR, RAMONA, OK 74061-3457
(918) 232-8564
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
202147
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202147
OK BOARD OF NURSING LICENSE
OK
Enumeration date
07/29/2021
Last updated
07/29/2021
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