Susan Gateley
Nurse Practitioner - Primary Care
601 W Mckennon St
Clarksville
, Arkansas 72830-3523
Susan Gateley
Nurse Practitioner - Primary Care
601 W Mckennon St
Clarksville
, Arkansas 72830-3523
(479) 754-7141
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Susan Gateley
- Po Box 668
- Clarksville, AR
- Zip : 72830-0668
- Fax : (479) 754-7141
- Phone : (479) 754-8384
Second Address
- Susan Gateley
- 601 W Mckennon St
- Clarksville, AR
- Zip : 72830-3523
- Fax : (479) 754-7141
- Phone : (479) 754-8384
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | A01730 | AR |
National Provider Identifier
| NPI | 1083684740 |
|---|---|
| Provider Name | Susan Gateley |
| First Address | Clarksville, AR 72830-0668 |
| Second Address | Clarksville, AR 72830-3523 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2006 |
| Last Update Date | 22/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0062731 | UMWA H&R FUNDS (01) | AR |
| 020407900 | BLACK LUNG PROGRAM (01) | AR |
| 0790780001 | PALMETTO GBA (01) | AR |
| 150985758 | (05) | AR |
| 435205 | HEALTH LINK (01) | AR |
| 5U698 | BLUE CROSS BLUE SHIELD AR (01) | AR |
| Q02854 | (02) | AR |
| XX12984 | HEALTH PLUS OF MICHIGAN (01) | AR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.