Individual
REBECCA S. DREVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3586
(405) 936-5204
Mailing address
509 CANYON RD, EDMOND, OK 73034-4319
(405) 844-6325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0070332
OK
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
107-26091
OK
Other
Enumeration date
01/11/2008
Last updated
05/13/2008
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