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Edward Alexander Wilson, CNA
Peer Specialist in Muskogee, Oklahoma
NPI 1194442806

Edward Alexander Wilson is a Peer Specialist based in Muskogee, OK. Edward Alexander Wilson practices in Muskogee, OK and has the professional credentials of CNA. The NPI Number for Edward Alexander Wilson is 1194442806 and holds a License No. (Oklahoma).

The current practice location address for Edward Alexander Wilson is 6365 W Okmulgee St, Muskogee, OK and can be reached out via phone at 918-687-1039 and via fax at 918-683-9484.

Location: 6365 W Okmulgee St, Muskogee, OK, 74401-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194442806
Provider Name
Edward Alexander Wilson
Credential
CNA
Provider Entity Type
Individual
Gender
Male
Address
6365 W Okmulgee St, Muskogee, OK, 74401-4431
Phone Number
918-687-1039
Fax Number
918-683-9484
Provider Enumeration Date
10/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6365 W Okmulgee St
City
Muskogee
State
Oklahoma
Zip
74401-4595
Phone Number
918-687-1039
Fax Number
918-683-9484
person
Provider Business Mailing Address Details
Address
6365 W Okmulgee St
City
Muskogee
State
Oklahoma
Zip
74401-4595
Phone Number
918-687-1039
Fax Number
918-683-9484
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oklahoma)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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