Provider Demographics
NPI:1033112347
Name:HAND, RACHEL (PAC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HAND
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:ORMAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1122 NE 13TH ST
Mailing Address - Street 2:ORB 150
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1039
Mailing Address - Country:US
Mailing Address - Phone:405-271-8558
Mailing Address - Fax:
Practice Address - Street 1:1122 NE 13TH ST
Practice Address - Street 2:ORB 1200
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-1039
Practice Address - Country:US
Practice Address - Phone:405-271-8558
Practice Address - Fax:405-271-3887
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03975363AM0700X
KS15-01384363AM0700X
MO2012016494363AM0700X
OK2524363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01102070OtherRAILROAD MEDICARE
P01102070OtherRAILROAD MEDICARE