Provider Demographics
NPI:1548244650
Name:MATHEW, FEBI RACHEL (ARNP)
Entity type:Individual
Prefix:
First Name:FEBI
Middle Name:RACHEL
Last Name:MATHEW
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 NW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-3913
Mailing Address - Country:US
Mailing Address - Phone:405-272-0476
Mailing Address - Fax:405-272-0730
Practice Address - Street 1:411 NW 11TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-3913
Practice Address - Country:US
Practice Address - Phone:405-272-0476
Practice Address - Fax:405-272-0730
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0069680363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200022100BMedicaid
OK200022100AMedicaid
OKR0069680OtherADVANCED NURSING LICENSE
OK200022100BMedicaid
OK200022100AMedicaid