WANDA LUANN BEESLEY GRAY EMT-P NPI 1811231939

NPI Information

NPI: 1811231939
Provider Name: WANDA LUANN BEESLEY GRAY, EMT-P
Classification: Emergency Medical Technician, Paramedic - 146L00000X
Entity Type: Individual
Address:
3100 E ST HWY 78
TISHOMINGO, OK
ZIP 73460
Phone: (580) 257-0499
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Wanda Luann Beesley Gray, EMT-P is an emergency medical technician paramedic in Tishomingo, OK. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. Wanda Luann Beesley Gray, EMT-P NPI is 1811231939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3100 E ST HWY 78
TISHOMINGO, OK
ZIP 73460
Phone: (580) 257-0499

The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146L00000X	Emergency Medical Technician, Paramedic		9208	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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