MEDICARE: SUSAN MICHELLE FEELEY DNP, APRN-CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	85757	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	85757	OTHER	OK	OKLAHOMA BOARD OF NURSING

General Provider Information

NPI Number	:	1457827511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MICHELLE FEELEY DNP, APRN-CNP

Provider Business Mailing Address
First Line	:	15951 LITTLE AXE DR
Second Line	:
City	:	NORMAN
State	:	OK
Zip	:	73026-9088
Country	:	US
Telephone Number	:	405-447-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3431 S BOULEVARD STE 109
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73013-5514
Country	:	US
Telephone Number	:	405-562-1870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2018
Last Update Date	:	03/25/2026

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