Provider Demographics
NPI:1174740039
Name:NUNLEY, RACHELLE RENEE (BA-CM-D)
Entity type:Individual
Prefix:MS
First Name:RACHELLE
Middle Name:RENEE
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:BA-CM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14307 N PENNSYLVANIA AVE APT E
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6094
Mailing Address - Country:US
Mailing Address - Phone:405-748-3146
Mailing Address - Fax:
Practice Address - Street 1:4400 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5104
Practice Address - Country:US
Practice Address - Phone:405-425-0379
Practice Address - Fax:405-425-0313
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator