Individual
MS. MARCI ANNE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5113 SE 15TH ST, DEL CITY, OK 73115-3952
(405) 255-4280
Mailing address
5113 SE 15TH ST, DEL CITY, OK 73115-3952
(405) 255-4280
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0077096
OK
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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