Most Relevant Information
Provider Data
| NPI Number: | 1003450628 |
| Provider Name: | SUSAN ELAINE GRAHAM DNP, APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 83931 |
Most Important Dates
| Enumeration Date: | 11/06/2019 |
| Last Updated: | 10/31/2022 |
Provider Practice Location
2408 E 81ST ST STE 900
TULSA
OK
741374283
Practice Location Phone/Fax
| Phone: | 9183195021 |
| Fax: | 9184775853 |
Provider Mailing Location
2408 E 81ST ST STE 900
TULSA
OK
741374283
Provider Mailing Phone/Fax
| Phone: | 9183195021 |
| Fax: |