Individual
CHRISTOPHER THOMAS WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 372-1480
Mailing address
1311 RICHMOND RD, EDMOND, OK 73034-3217
(572) 205-8757
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221954
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2024
Last updated
03/05/2025
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