Individual
SHEILA EILEEN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MEADOW LANE, HOWE, OK 74940
(918) 658-2509
Mailing address
1000 MEADOW LANE, MEADOWBROOK, HOWE, OK 74940
(918) 658-2509
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0054202
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0054202
NURSE
OK
Enumeration date
07/11/2017
Last updated
07/11/2017
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