Individual
SUSAN L QUISENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1211 N SHARTEL AVE, SUITE 700, OKLAHOMA CITY, OK 73103-2400
(405) 702-6700
Mailing address
PO BOX 5722, NORMAN, OK 73070-5722
(405) 702-6700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
705243
TX
363L00000X
Nurse Practitioner
Primary
R0059860
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085250A
—
OK
Enumeration date
06/12/2006
Last updated
09/29/2011
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