Provider Demographics
NPI:1407608243
Name:COLLINS, RACHEL (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 S 95TH EAST AVE
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-7006
Mailing Address - Country:US
Mailing Address - Phone:918-284-7914
Mailing Address - Fax:
Practice Address - Street 1:10505 E 91ST ST STE 205
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5829
Practice Address - Country:US
Practice Address - Phone:918-307-5490
Practice Address - Fax:918-779-3247
Is Sole Proprietor?:No
Enumeration Date:2024-04-04
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK217180363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily