Provider Demographics
NPI:1215775770
Name:HUNDLEY, RACHEL NICOLE (BS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:NICOLE
Last Name:HUNDLEY
Suffix:
Gender:X
Credentials:BS
Other - Prefix:
Other - First Name:RAE
Other - Middle Name:
Other - Last Name:HUNDLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS
Mailing Address - Street 1:2844 NW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-3112
Mailing Address - Country:US
Mailing Address - Phone:903-330-4743
Mailing Address - Fax:
Practice Address - Street 1:201 NE 50TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-1811
Practice Address - Country:US
Practice Address - Phone:405-235-7537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator