Individual
RACHEL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7650
(918) 403-6341
Mailing address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 748-7650
(918) 403-6341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78436
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200399480A
—
OK
Enumeration date
08/17/2011
Last updated
03/08/2018
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