Individual
THILLY-RAE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4999
(559) 991-6033
Mailing address
208 N SHANNON WAY, MUSTANG, OK 73064-2350
(559) 991-6033
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
200924
OK
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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