Provider Demographics
NPI:1316437825
Name:COATS, SUSAN (APRN-CNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:
Last Name:COATS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE STE 280
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5555
Mailing Address - Country:US
Mailing Address - Phone:405-713-9930
Mailing Address - Fax:405-713-9931
Practice Address - Street 1:3366 NW EXPRESSWAY STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-713-9930
Practice Address - Fax:405-713-9931
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK93331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily