Healthcare Provider Details

I. General information

NPI: 1770449274
Provider Name (Legal Business Name): REBECCA ELAINE FIETH APRN-CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N LINCOLN BLVD STE 4000
OKLAHOMA CITY OK
73104-3252
US

IV. Provider business mailing address

1000 N LINCOLN BLVD STE 4000
OKLAHOMA CITY OK
73104-3252
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4912
  • Fax: 405-271-3091
Mailing address:
  • Phone: 405-271-4912
  • Fax: 405-271-3091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number229974
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: