Individual
MARY SHARON ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
172 CAMBRIDGE ST, SUITE 204, BURLINGTON, MA 01803-2984
(781) 272-7022
(781) 272-8786
Mailing address
134 ALLEN RD, BILLERICA, MA 01821-3707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23649
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23649
LPN LICENSE
MA
Enumeration date
09/21/2006
Last updated
07/08/2007
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