Individual
MS. SOISANGVANE ALINA WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3345 TERRITORY LN, EL RENO, OK 73036-6503
(405) 886-5655
(405) 252-2545
Mailing address
3345 TERRITORY LN, EL RENO, OK 73036-6503
(405) 886-5655
(405) 252-2545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96349
OK
363L00000X
Nurse Practitioner
23157
WI
363LF0000X
Family Nurse Practitioner
Primary
96349
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429980A
—
OK
Enumeration date
02/07/2012
Last updated
02/15/2023
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