Provider Demographics
NPI:1407419815
Name:QUINLAN-SHELDON, BETTY JANE (RN IBCLC)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:JANE
Last Name:QUINLAN-SHELDON
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:MS
Other - First Name:BETTY
Other - Middle Name:J
Other - Last Name:QUINLAN-SHELDON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN IBCLC
Mailing Address - Street 1:8 CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220-3103
Mailing Address - Country:US
Mailing Address - Phone:603-528-0995
Mailing Address - Fax:603-528-0996
Practice Address - Street 1:8 CORPORATE DR
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NH
Practice Address - Zip Code:03220-3103
Practice Address - Country:US
Practice Address - Phone:603-528-0995
Practice Address - Fax:603-528-0996
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH011254-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant