SUSAN GRAY SHIRLEY ARNP NPI 1346483856

NPI Information

NPI: 1346483856
Provider Name: SUSAN GRAY SHIRLEY, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4651 CHARLOTTE PARK DR
SUITE 300
CHARLOTTE, NC
ZIP 28217
Phone: (813) 977-2777
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Susan Gray Shirley, ARNP is a family nurse practitioner in Charlotte, NC. Susan Gray Shirley, ARNP NPI is 1346483856. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4651 CHARLOTTE PARK DR
SUITE 300
CHARLOTTE, NC
ZIP 28217-956
Phone: (813) 977-2777

The enumeration date for this NPI number is 4/14/2009 and was last updated on 10/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	ARNP 2733542	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002221700	MEDICAID	FLORIDA
2	FX821Z	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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