Individual
SUSAN R GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
516 DENVER ST, WICHITA FALLS, TX 76301-2110
(940) 720-3500
(940) 397-3150
Mailing address
1325 PENNSYLVANIA AVE, SUITE 890, FORT WORTH, TX 76104-2158
(817) 878-5333
(817) 878-5334
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
640526
TX
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP132268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7700478
AETNA
TX
01
—
8496608
CIGNA
TX
01
—
89N923
BCBS OF TEXAS
TX
Enumeration date
08/23/2006
Last updated
06/26/2019
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