# DR. SUSAN ELIZABETH SHIRATO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093055709
- **Gender:** F
- **Credential:** DNP, CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00472800 | NJ | Yes |

## Other

- **Enumeration date:** 02/18/2013
- **Last updated:** 10/17/2024

## 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 |