Individual
AMY L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3110 HEALTHPLEX PARKWAY, NORMAN, OK 73072
(405) 292-2400
Mailing address
3405 FAIRVIEW AVE #6, NORMAN, MD 73072-5047
(405) 408-4845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0025911
OK
Other
Enumeration date
09/25/2012
Last updated
02/05/2015
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