Healthcare Provider Details

I. General information

NPI: 1083161277
Provider Name (Legal Business Name): KAREN DANIELS RACKLEY DNP, APRN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2016
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 E CHERRY ST STE D
CUSHING OK
74023-4105
US

IV. Provider business mailing address

110 W 7TH ST
TULSA OK
74119-1031
US

V. Phone/Fax

Practice location:
  • Phone: 918-225-3627
  • Fax:
Mailing address:
  • Phone: 918-579-3826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number62374
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: