RACHEL OLIVIA CRIST CST-CSFA
NPI 1952027716
Physician Assistant - Surgical in Broken Arrow, OK
Active since October 13, 2022
About Rachel Olivia Crist Cst-csfa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHEL OLIVIA CRIST CST-CSFA (NPI 1952027716) is an individual surgical provider in Broken Arrow, Oklahoma, licensed in Oklahoma (213290) and active in the NPI registry since October 2022.
NPPES Registry Identity
NPI1952027716
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameRACHEL OLIVIA CRISTCredential: CST-CSFA
Location Address2612 W LAREDO STBroken Arrow, OK 74012-7475
Mailing Address2612 W Laredo StBroken Arrow, OK 74012-7475 · (918) 944-8333
Phone(918) 944-8333
Sole ProprietorYes
Enumeration DateOctober 13, 2022
Last NPPES UpdateOctober 25, 20223 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
✔ NPI 1952027716 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OK · 213290
2612 W LAREDO ST, Broken Arrow, OK 74012
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952027716, enumerated as an "individual" on October 13, 2022.
The provider is located at 2612 W LAREDO ST BROKEN ARROW, OK 74012 and the phone number is (918) 944-8333.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
