Provider Demographics
NPI:1720962723
Name:GATHER, FAITH MARIE (CNP)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:MARIE
Last Name:GATHER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:MARIE
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15300 E FRANKLIN RD
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73026-8954
Mailing Address - Country:US
Mailing Address - Phone:405-618-1817
Mailing Address - Fax:
Practice Address - Street 1:15300 E FRANKLIN RD
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73026-8954
Practice Address - Country:US
Practice Address - Phone:405-618-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK225003363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health