Individual
SUSAN ALFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2802 N KICKAPOO AVE, SHAWNEE, OK 74804-1798
(405) 214-6441
Mailing address
5300 W MEMORIAL RD APT 2H, OKLAHOMA CITY, OK 73142-2031
(405) 476-8298
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
87990
OK
Other
Enumeration date
08/15/2018
Last updated
07/11/2023
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