Provider Demographics
NPI:1841713278
Name:RAKOWITZ-VARNER, ROCKLYNNE R (NP-C)
Entity type:Individual
Prefix:
First Name:ROCKLYNNE
Middle Name:R
Last Name:RAKOWITZ-VARNER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13905 AGATE DR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8234
Mailing Address - Country:US
Mailing Address - Phone:405-822-4896
Mailing Address - Fax:
Practice Address - Street 1:13905 AGATE DR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-8234
Practice Address - Country:US
Practice Address - Phone:405-822-4896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK108635363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner