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Individual
DR. SUSAN ELIZABETH SHIRATO
Active
Individual
DR. SUSAN ELIZABETH SHIRATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00472800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0672122
—
NJ
01
—
1007278000
TPI PA MEDICAID GROUP
PA
01
—
597586
TPI GROUP MEDICARE NUMBER
PA
01
—
CD4829
TPI RAILROAD MEDICARE GROUP ID
PA
Enumeration date
02/18/2013
Last updated
10/17/2024
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