Edward Alexander Wilson, CNA

NPI #1194442806 in Muskogee, Oklahoma

Provider Information

NPI Number: 1194442806
Entity Type: Individual
Name: Edward Alexander Wilson, CNA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Credential: CNA
Enumeration Date: Oct 24, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 6365 W OKMULGEE ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4595
Phone: (918) 687-1039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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