Kirwan, Susan Mary

Kirwan, Susan Mary is an individual health care provider with primary practice located at 7205 Stonehenge Dr , Raleigh NC 27613-1649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kirwan, Susan Mary can be contacted via phone (919) 848-2249.

Contact Information

Primary practice address
7205 Stonehenge Dr Raleigh NC 27613-1649
Phone: (919) 848-2249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0024167791 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 579151 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5009929 North Carolina

Profile Details

NPI number 1447461314
LBN Legal business name Kirwan, Susan Mary
Credentials EDD, MSN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Apr 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447461314 NPPES
North Carolina MEDICAID 1447461314

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