Individual
MRS. SUSAN ELAINE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
2408 E 81ST ST STE 900, TULSA, OK 74137-4283
(918) 319-5021
(918) 477-5853
Mailing address
2408 E 81ST ST STE 900, TULSA, OK 74137-4283
(918) 319-5021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83931
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2019055073
AMERICAN NURSES CREDENTIALING CENTER
OK
Enumeration date
11/06/2019
Last updated
10/31/2022
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