Provider Demographics
NPI:1316139124
Name:LOWERY, REBECCA JANE (RN, CNS, AOCN)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:LOWERY
Suffix:
Gender:F
Credentials:RN, CNS, AOCN
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JANE
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNS, AOCN
Mailing Address - Street 1:13509 N. MERIDIAN, SUITE 6
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120
Mailing Address - Country:US
Mailing Address - Phone:405-755-2273
Mailing Address - Fax:405-751-3505
Practice Address - Street 1:13509 N. MERIDIAN, SUITE 6
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120
Practice Address - Country:US
Practice Address - Phone:405-755-2273
Practice Address - Fax:405-751-3505
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0038306163WX0200X
OK0038306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKR0038306OtherOKLAHOMA BOARD OF NURSING