Provider Demographics
NPI:1356055420
Name:FITZPATRICK, SHARON (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 CHACE HILL RD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:MA
Mailing Address - Zip Code:01564-1546
Mailing Address - Country:US
Mailing Address - Phone:508-737-7791
Mailing Address - Fax:
Practice Address - Street 1:143 CHACE HILL RD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:MA
Practice Address - Zip Code:01564-1546
Practice Address - Country:US
Practice Address - Phone:508-737-7791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210395163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant