IndividualActive
Suzanne Gauldin, LD/RD
NPI 1104191931 · Metabolic Nutrition Registered Dietitian · Owasso, OK
Provider details
- NPI number
- 1104191931
- Entity type
- Individual
- Primary specialty
- Metabolic Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- LD/RD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 764 (OK)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
12906 E 106th St N
Owasso, OK 74055-5909
Phone: (918) 698-0965
Approximate (ZIP-level) locationGet directions
Mailing address
12906 E 106th St N
Owasso, OK 74055-5909
Registry dates
- Enumerated
- 2012-03-12
- Last updated
- 2024-11-04
- Certified
- 2024-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.