IndividualActive
Bethine Wisely, RN
NPI 1053913194 · Emergency Registered Nurse · Lawton, OK
Provider details
- NPI number
- 1053913194
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 1652264 (CO)
Specialties & taxonomies
Nursing Service Providers
Practice location
1515 Ne Lawrie Tatum Rd
Lawton, OK 73507-3099
Phone: (580) 354-5000
Approximate (ZIP-level) locationGet directions
Mailing address
1515 Ne Lawrie Tatum Rd
Lawton, OK 73507-3099
Registry dates
- Enumerated
- 2020-11-13
- Last updated
- 2020-11-13
- Certified
- 2020-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.