Individual
SUSAN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
903 E WASHINGTON ST, IDABEL, OK 74745-3333
(580) 920-7200
Mailing address
903 E WASHINGTON ST, IDABEL, OK 74745-3333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0102575
OK
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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