# MRS. SUSAN MARY KIRWAN

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

## Provider details

- **NPI number:** 1447461314
- **Gender:** F
- **Credential:** EDD, MSN, CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 0024167791 | VA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 5009929 | NC | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 579151 | TX | — |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 04/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1447461314 | — | NC |