Individual
SUSAN C BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
10501 E 91ST ST, TULSA, OK 74133-5790
(918) 307-3690
Mailing address
6260 E 109TH ST N, WAGONER, OK 74467-7940
(405) 317-5035
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10890220
OK
163WM0102X
Maternal Newborn Registered Nurse
R005687308091652
OK
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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