Individual
MRS. SUSAN MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
104 LONE OAK CIR, FORT GIBSON, OK 74434-5001
(918) 478-2101
(918) 478-6008
Mailing address
104 LONE OAK CIR, FORT GIBSON, OK 74434-5001
(918) 478-2101
(918) 478-6008
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
115364
OK
Other
Enumeration date
08/07/2014
Last updated
02/27/2025
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