Provider Demographics
NPI:1033731351
Name:SCHARR, SUZAN DIANE (RN, BSN, IBCLC, CCCE)
Entity Type:Individual
Prefix:
First Name:SUZAN
Middle Name:DIANE
Last Name:SCHARR
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC, CCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MARLA LN
Mailing Address - Street 2:
Mailing Address - City:EAST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02536-5056
Mailing Address - Country:US
Mailing Address - Phone:508-524-3651
Mailing Address - Fax:
Practice Address - Street 1:15 MARLA LN
Practice Address - Street 2:
Practice Address - City:EAST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02536-5056
Practice Address - Country:US
Practice Address - Phone:508-524-3651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA148159163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant