Healthcare Provider Details

I. General information

NPI: 1902883655
Provider Name (Legal Business Name): SHARON REDFEARN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 KINSLEY ST
NASHUA NH
03060-3634
US

IV. Provider business mailing address

PO BOX 808
NASHUA NH
03061-0808
US

V. Phone/Fax

Practice location:
  • Phone: 603-595-3951
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: