Provider Demographics
NPI:1790765733
Name:TROMLEY, RACHAEL ANN (APRN CNS)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:ANN
Last Name:TROMLEY
Suffix:
Gender:F
Credentials:APRN CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6406 N. SANTE FE
Mailing Address - Street 2:SUITE A
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116
Mailing Address - Country:US
Mailing Address - Phone:405-840-3793
Mailing Address - Fax:405-840-3794
Practice Address - Street 1:6406 N. SANTE FE
Practice Address - Street 2:SUITE A
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116
Practice Address - Country:US
Practice Address - Phone:405-840-3793
Practice Address - Fax:405-840-3794
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK0077178363LF0000X
OKR0077178364SP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200062540AMedicaid
OK200062540AMedicaid
OK245534102Medicare PIN