Individual provider · Type 1 NPI

Misty Wigley

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

NPI number 1962782888 Active

Practice location

527 W 3rd St
Konawa, OK 74849-1415

Fax (580) 925-9149

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 1962782888

Misty Wigley's National Provider Identifier is 1962782888, issued on Aug 23, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Konawa, OK. The record was last updated on Aug 23, 2011.