IndividualActive
Angel Wilson
NPI 1861963035 · Licensed Practical Nurse · Lake Charles, LA
Provider details
- NPI number
- 1861963035
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 343564 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
3440 Skipper St
Lake Charles, LA 70607-7599
Phone: (713) 799-2200
Approximate (ZIP-level) locationGet directions
Mailing address
3440 Skipper St
Lake Charles, LA 70607-7599
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.