Individual
SUSAN ATEMBUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 NW 88TH ST, OKLAHOMA CITY, OK 73114-3608
(405) 965-1200
Mailing address
212 NW 88TH ST, OKLAHOMA CITY, OK 73114-3608
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
830251
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN500006779
DC
Other
Enumeration date
04/13/2022
Last updated
09/19/2023
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