Individual
ILONA WILLYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8418 N 123RD EAST AVE, OWASSO, OK 74055-2139
(918) 858-4353
Mailing address
8418 N 123RD EAST AVE, OWASSO, OK 74055-2139
(918) 858-4353
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
90504
OK
Other
Enumeration date
04/10/2012
Last updated
02/04/2025
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