Provider Demographics
NPI:1740523224
Name:SOLIZ, NANCY ANN RUMLEY (MS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ANN RUMLEY
Last Name:SOLIZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:ANN
Other - Last Name:RUMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2808 NW 12TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-5322
Mailing Address - Country:US
Mailing Address - Phone:785-317-5543
Mailing Address - Fax:
Practice Address - Street 1:10400 VINEYARD BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3829
Practice Address - Country:US
Practice Address - Phone:405-242-5305
Practice Address - Fax:104-242-5345
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1001106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist