# DR. SHRUTI SATISH PATEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063010940
- **Gender:** F
- **Credential:** DNP, APN-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | 26NJ01065400 | NJ | Yes |

## Other

- **Enumeration date:** 10/13/2020
- **Last updated:** 03/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 26NJ01065400 | NJ APN LICENSE | NJ |
| 01 | — | 26NR18079200 | NJ REGISTERED PROFESSIONAL NURSE LICENSE | NJ |
