Grandle, Susan Byrd
Grandle, Susan Byrd is an individual health care provider with primary practice located at 5622 N Portland Ave #102, Oklahoma City OK 73112-2096. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grandle, Susan Byrd can be contacted via phone (405) 917-7590.Contact Information
Primary practice address
5622 N Portland Ave #102
Oklahoma City OK 73112-2096
Phone: (405) 917-7590
Fax: (405) 917-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R0028064 | Oklahoma |
Profile Details
| NPI number | 1013969625 |
|---|---|
| LBN Legal business name | Grandle, Susan Byrd |
| Credentials | ARNP, PHD. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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