Individual
MS. SUSAN LOANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 949-3248
Mailing address
17306 FOUNTAIN VW, SAN ANTONIO, TX 78248-1938
(210) 479-2100
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
614651
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
614651
TX
Other
Enumeration date
11/29/2006
Last updated
09/11/2025
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