Provider Demographics
NPI:1467164137
Name:SHEEHAN, FARRAH (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:FARRAH
Middle Name:
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 FOX RUN RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-3116
Mailing Address - Country:US
Mailing Address - Phone:603-540-2734
Mailing Address - Fax:
Practice Address - Street 1:8 FOX RUN RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-3116
Practice Address - Country:US
Practice Address - Phone:603-540-2734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH044110-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant