Provider Demographics
NPI:1588398226
Name:SYMCOX, ASHLEE RACHAEL (RN, FNTP)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:RACHAEL
Last Name:SYMCOX
Suffix:
Gender:F
Credentials:RN, FNTP
Other - Prefix:MS
Other - First Name:ASHLEE
Other - Middle Name:RACHAEL
Other - Last Name:MASTELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 7146
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73083-7146
Mailing Address - Country:US
Mailing Address - Phone:405-826-0213
Mailing Address - Fax:405-285-3367
Practice Address - Street 1:16000 IRON RIDGE RD
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-5872
Practice Address - Country:US
Practice Address - Phone:405-826-0213
Practice Address - Fax:405-285-3367
Is Sole Proprietor?:No
Enumeration Date:2022-07-09
Last Update Date:2022-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0096572163WN1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN1003XNursing Service ProvidersRegistered NurseNutrition Support