MRS. Amanda Nicole Wilson

NPI #1093458804 in Shawnee, Oklahoma

Provider Information

NPI Number
1093458804
Entity Type
Individual
Name
MRS. Amanda Nicole Wilson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 19, 2022
Last Updated
Apr 19, 2022

Practice Location

Address
1010 E 45TH ST
ZIP Code
74804-2202
Phone
(405) 273-1170

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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