IndividualActive
Anthony Wilson
NPI 1073466264 · Psychiatric/Mental Health Nurse Practitioner · Oklahoma City, OK
Provider details
- NPI number
- 1073466264
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 206579 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9121 S Grace Dr
Oklahoma City, OK 73159-7117
Phone: (405) 537-1685
Approximate (ZIP-level) locationGet directions
Mailing address
9121 S Grace Dr
Oklahoma City, OK 73159-7117
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.