Individual provider · Type 1 NPI

Melissa Wilson

Administrator Registered Nurse · Antlers, OK

NPI number 1255728564 Active

Practice location

19437 N 4230 Rd
Antlers, OK 74523-0753

Call (580) 209-2235 Map

Mailing address

PO Box 753
Antlers, OK 74523-0753

Specialties and licenses

Taxonomy	Code	License
Administrator Registered Nurse Primary	163WA2000X	R112330 (OK)

Administrator Registered Nurse: Definition to come...

About NPI 1255728564

Melissa Wilson's National Provider Identifier is 1255728564, issued on Apr 24, 2015. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Antlers, OK. The record was last updated on Apr 24, 2015.