Individual
ELYSE WIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 BOREN BLVD, SEMINOLE, OK 74868-2050
(053) 824-5074
(405) 382-5269
Mailing address
PO BOX 1845, SEMINOLE, OK 74818-1845
(405) 382-4507
(405) 382-5269
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
07/28/2025
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