Susan Deann Priddy, RN, WCC
Individual provider Active NPI Wound Care Registered Nurse · Milburn, OK
NPI 1184863565 · NPPES record last updated Feb 9, 2009
Key facts
- NPI
- 1184863565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Wound Care Registered Nurse 163WW0000X
- License
- R0069035 (OK)
- Practice address
- 10500 Ok Highway 78 S
Milburn, OK 73450-0027 - Phone
- (580) 257-0577
- Fax
- (580) 443-5253
- NPI assigned
- Feb 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0069035 | OK | MD | Wound Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | R0069035 | OK | Yes |
Addresses
Primary practice location
10500 Ok Highway 78 S
Milburn, OK 73450-0027
Mailing address
10500 Ok Highway 78 S
Milburn, OK 73450-0027
Phone (580) 257-0577
Other providers in Milburn, OK
All providers in Milburn, OK · Wound Care Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.