| Array Nutrition & Lactation Pllc | |
|
720 Sw 156th St, Oklahoma City, OK 73170-7614 | |
| (405) 615-0686 | |
| Not Available |
| Full Name | Array Nutrition & Lactation Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 720 Sw 156th St, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841900172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 174N00000X | Lactation Consultant, Non-rn | (* (Not Available)) | Secondary |
| Provider Name | Wendy Dee Wilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245603471 PECOS PAC ID: 9537538426 Enrollment ID: I20221215003088 |
| Mailing Address | Practice Location Address |
|---|---|
| Array Nutrition & Lactation Pllc 720 Sw 156th St, Oklahoma City, OK 73170-7614 Ph: (405) 215-9248 | Array Nutrition & Lactation Pllc 720 Sw 156th St, Oklahoma City, OK 73170-7614 Ph: (405) 615-0686 |
Rebekah Lea Maxwell, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1695 |
Mrs. Lisha M Smathers, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 9353 Sw 21st St, Oklahoma City, OK 73128 Phone: 405-627-5650 |
Kelsey Duncan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3433 Nw 56th St, #970, Oklahoma City, OK 73112 Phone: 405-951-2131 Fax: 405-951-2135 |
Michelle Tillinger, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-853-0128 |
Olivia B Riggs, Dietitian Medicare: May Accept Medicare Assignments Practice Location: 800 N Oklahoma Ave Apt 1317, Oklahoma City, OK 73104 Phone: 918-949-8339 |
Holly Michelle Mistler, L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W Memorial Rd, Oklahoma City, OK 73120 Phone: 405-752-3758 Fax: 405-936-5288 |
Mr. Anthony Ray Perry, R.D., L.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-270-0501 |