NPI 1346865888

Stephanie Wilson, LVN

Practitioner Licensed Practical Nurse Odessa, TX

Practice location

Address: 2701 Cumberland Rd, Odessa, TX 79762-6913
Phone: (951) 413-9638

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 219438 (TX)

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Registry record

NPI: 1346865888
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2020
Record last updated: 10 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.