Individual
MRS. ANNA LARA WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
3300 NW EXPRESSWAY ST, OKLAHOMA CITY, OK 73112-4999
(405) 949-3011
Mailing address
115 FOREST GLEN LN, TOPSHAM, ME 04086-1343
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
207935
OK
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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