Individual
PAMALA LEA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 CHILDRENS AVE # 8F, OKLAHOMA CITY, OK 73104-4637
(405) 271-4750
Mailing address
4719 MULBERRY ST, WOODWARD, OK 73801-3854
(918) 704-5556
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0082268
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053460A
—
OK
Enumeration date
07/18/2006
Last updated
04/06/2026
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