Individual provider · Type 1 NPI

Annagrace Wilson

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1770472201 Active

Practice location

Osu College Of Osteopathic Medicine, 1111 W. 17th St.
Tulsa, OK 74107

Mailing address

7325 S Kalanchoe Ave
Broken Arrow, OK 74011-7492

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770472201

Annagrace Wilson's National Provider Identifier is 1770472201, issued on Jun 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 30, 2025.