NPI 1477438752

Lydia Wall

Practitioner Nurse's Aide Shawnee, OK

Practice location

Address: 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007
Phone: (405) 214-5111

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 37V124914052 (OK)

Other Nurse's Aide providers in Oklahoma →

Registry record

NPI: 1477438752
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2025
Record last updated: 7 Aug 2025

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.