Individual
FEBI RACHEL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
411 NW 11TH ST, OKLAHOMA CITY, OK 73103-3913
(405) 272-0476
(405) 272-0730
Mailing address
411 NW 11TH ST, OKLAHOMA CITY, OK 73103-3913
(405) 272-0476
(405) 272-0730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0069680
OK
363LF0000X
Family Nurse Practitioner
Primary
R0069680
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200022100A
—
OK
05
—
200022100B
—
OK
01
—
R0069680
ADVANCED NURSING LICENSE
OK
Enumeration date
12/01/2005
Last updated
10/30/2019
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