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Individual

MRS. SUSAN A WARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP,CNM

Contact information

Practice address
1508 NW 106TH ST, OKLAHOMA CITY, OK 73114-5214
(405) 751-1774
(405) 752-6833
Mailing address
1301 NW 21ST ST, OKLAHOMA CITY, OK 73106-4019
(405) 528-4213
(405) 752-6833

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0026912
OK
367A00000X
Advanced Practice Midwife
R0026912
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100028850
OK
Enumeration date
06/19/2008
Last updated
06/19/2008
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