Individual
SUSAN WYNKOOP ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6585 S YALE AVE STE 650, TULSA, OK 74136-8319
(918) 502-5600
(918) 502-5603
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
97208
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200942760A
—
OK
Enumeration date
10/17/2020
Last updated
01/16/2024
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