Provider Demographics
NPI:1255340154
Name:SHARKEY-FOX, NANCY (FNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SHARKEY-FOX
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 1:75 MT. AUBURN STREET
Mailing Address - Street 2:HARVARD UNIVERSITY HEALTH SERVICES
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138
Mailing Address - Country:US
Mailing Address - Phone:617-495-2001
Mailing Address - Fax:802-824-3602
Practice Address - Street 1:75 MOUNT AUBURN ST
Practice Address - Street 2:HARVARD UNIVERSITY HEALTH SERVICES
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-4960
Practice Address - Country:US
Practice Address - Phone:617-495-2001
Practice Address - Fax:617-495-8078
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010011220163W00000X
VT101-0011220164W00000X, 363L00000X
MA122390163W00000X, 363L00000X, 164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTNP1461Medicare ID - Type Unspecified
VTNP1461Medicare ID - Type Unspecified
VT1004719Medicaid