Provider Demographics
NPI:1336110485
Name:CHATTERTON, SHARON A (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:CHATTERTON
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:CHATTERTON
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, BC
Mailing Address - Street 1:4 EMILY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-1071
Mailing Address - Country:US
Mailing Address - Phone:508-553-0443
Mailing Address - Fax:781-255-0356
Practice Address - Street 1:1 WALPOLE ST
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3315
Practice Address - Country:US
Practice Address - Phone:781-255-0303
Practice Address - Fax:781-255-0356
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192948 PC163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANS0758Medicare ID - Type Unspecified