Healthcare Provider Details

I. General information

NPI: 1568000750
Provider Name (Legal Business Name): RACHEL SLOAN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 W MEMORIAL RD STE LL100
OKLAHOMA CITY OK
73120-8304
US

IV. Provider business mailing address

527 W 3RD ST
KONAWA OK
74849-1415
US

V. Phone/Fax

Practice location:
  • Phone: 405-752-3091
  • Fax:
Mailing address:
  • Phone: 580-925-3286
  • Fax: 580-925-9149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: