Provider Demographics
NPI:1083829675
Name:COLE, SHARON ANN (FNP)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:COLE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4238
Mailing Address - Country:US
Mailing Address - Phone:978-957-0565
Mailing Address - Fax:
Practice Address - Street 1:71 WILDER ST
Practice Address - Street 2:SUITE 5
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-3097
Practice Address - Country:US
Practice Address - Phone:978-934-4991
Practice Address - Fax:978-934-3080
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA173295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily