Individual provider · Type 1 NPI
Lydia Wall
Nurse's Aide · Shawnee, OK
Practice location
2307 Gordon Cooper Dr
Shawnee, OK 74801-9007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | 37V124914052 (OK) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
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- Brittany Marie MoutawNurse's Aide Shawnee, OK NPI 1528869997
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About NPI 1477438752
Lydia Wall's National Provider Identifier is 1477438752, issued on Aug 7, 2025. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Shawnee, OK. The record was last updated on Aug 7, 2025.