Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Skyler Wilson Rose

Individual provider Peer Specialist · NPI 1639863822

Skyler Wilson Rose is a Peer Specialist in Tahlequah, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

711 S Muskogee Ave
Tahlequah, OK 74464-4717
Phone: (918) 207-0078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1639863822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 26, 2023
Mailing address711 S Muskogee Ave, Tahlequah, OK 74464-4717

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