Healthcare Provider Details
I. General information
NPI: 1760779557
Provider Name (Legal Business Name): RACHEL CAMERON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/30/2011
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10740 S MAY AVE STE 113
OKLAHOMA CITY OK
73170-2479
US
IV. Provider business mailing address
3001 QUAIL SPRINGS PKWY FL 5
OKLAHOMA CITY OK
73134-2640
US
V. Phone/Fax
- Phone: 405-427-4942
- Fax: 405-951-8849
- Phone: 405-427-4942
- Fax: 405-951-8849
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | R0066837 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: