Provider Demographics
NPI:1134773567
Name:SPRAGUE, RACHEL GAINES (APRN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:GAINES
Last Name:SPRAGUE
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Gender:F
Credentials:APRN
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-713-7060
Mailing Address - Fax:405-713-7064
Practice Address - Street 1:3330 NW 56TH ST STE 500
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4470
Practice Address - Country:US
Practice Address - Phone:405-713-7060
Practice Address - Fax:405-713-7064
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK77262363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics