Individual
CLAUDETTE G. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
1007 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-8700
(580) 272-1094
Mailing address
1007 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-8700
(580) 272-1094
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R64319
OK
Other
Enumeration date
01/31/2012
Last updated
12/11/2023
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