Doctor Name: | MRS. RACHAEL SUE INCE |
NPI Number: | 1649310228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | R0073454 |
Business Practice Address: | 210 Nw 4th St Lindsay, OK - 730524048 |
Business Phone Number: | 4057561414 |
Business Fax Number: | 4057561162 |
Mailing Address: | Rr 4 Box 212, LINDSAY |
State: | OK |
Postal Code: | 730529157 |
Phone Number: | 4057568641 |
Fax Number: | |
NPI Enumeration Date: | 02/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R0073454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |