| Doctor Name: | SUSAN DEANN PRIDDY |
| NPI Number: | 1184863565 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, WCC |
| License Number: | R0069035 |
| Business Practice Address: | 10500 Ok Highway 78 S Milburn, OK - 734500027 |
| Business Phone Number: | 5802570577 |
| Business Fax Number: | 5804435253 |
| Mailing Address: | 10500 Ok Highway 78 S, MILBURN |
| State: | OK |
| Postal Code: | 734500027 |
| Phone Number: | 5802570577 |
| Fax Number: | 5804435253 |
| NPI Enumeration Date: | 02/09/2009 |
| NPI Last Update Date: | 02/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | R0069035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |