DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUZANNE E GAULDIN, LD/RD

Active Sole Proprietor

SUZANNE E GAULDIN, LD/RD is a Metabolic Nutrition healthcare provider located in OWASSO, Oklahoma. NPI 1104191931 is currently active in the NPPES registry. Verify at CMS.

Metabolic Nutrition · OWASSO, OK

Registration Details

NPI Number
1104191931
Provider Type
Individual
Gender
Female
NPI Issued
Mar 12, 2012 (14.380616170944 yrs)
Last Updated
Nov 4, 2024
License
764 (OK)
Sole Proprietor
Yes

Practice Information

Address
12906 E 106TH ST N
OWASSO, OK, 740555909
Browse OK providers · Browse ZIP 74055
Phone
9186980965
Primary Specialty
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.