Individual
SUSAN M. GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6410 ROCKLEDGE DR STE 660, BETHESDA, MD 20817-1915
(301) 571-0019
(240) 482-0555
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN203735
MA
363LA2100X
Acute Care Nurse Practitioner
RN203735
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110157932A
—
MA
Enumeration date
09/19/2019
Last updated
05/14/2024
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