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Individual
SUSANNA M SHEPARD
Active
Individual
SUSANNA M SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3339776
GRANITE STATE MALPRACTICE
SC
01
—
33N45
SC CONTROLLED SUBSTANCES
SC
05
—
7004977
—
NC
Enumeration date
10/31/2006
Last updated
03/10/2026
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