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Individual
SUSAN GATELEY
Active
Individual
SUSAN GATELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A01730
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062731
UMWA H&R FUNDS
AR
01
—
020407900
BLACK LUNG PROGRAM
AR
01
—
0790780001
PALMETTO GBA
AR
05
—
150985758
—
AR
01
—
435205
HEALTH LINK
AR
01
—
5U698
BLUE CROSS BLUE SHIELD AR
AR
01
—
XX12984
HEALTH PLUS OF MICHIGAN
AR
Enumeration date
01/25/2006
Last updated
09/22/2011
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