Individual
SUSANNA CAROL MCDANIEL
Active
Individual
SUSANNA CAROL MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
82443
OK
390200000X
Student in an Organized Health Care Education/Training Program
82443
OK
Other
Enumeration date
07/15/2020
Last updated
03/30/2022
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