Provider Demographics
NPI:1467028589
Name:MORRIS-GAY, AFTAN RACHELLE (APRN)
Entity Type:Individual
Prefix:
First Name:AFTAN
Middle Name:RACHELLE
Last Name:MORRIS-GAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1360
Mailing Address - Country:US
Mailing Address - Phone:580-470-9800
Mailing Address - Fax:
Practice Address - Street 1:1601 BROOKWOOD AVE
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1360
Practice Address - Country:US
Practice Address - Phone:580-470-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-29
Last Update Date:2021-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK200851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily