Individual
MRS. SUSAN DANIELLE TRIPPET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
718 AVENUE A, BEAVER, OK 73932-3101
(580) 625-3477
(580) 625-3562
Mailing address
RR 1 BOX 116, FORGAN, OK 73938-9776
(580) 625-3477
(580) 625-3562
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ROO47882
OK
Other
Enumeration date
03/23/2007
Last updated
01/06/2010
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