Provider Demographics
NPI:1437677440
Name:KRISPINSKY, SHARON LYNN (RN, BSN, CDE)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:LYNN
Last Name:KRISPINSKY
Suffix:
Gender:F
Credentials:RN, BSN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-9265
Mailing Address - Fax:239-343-9268
Practice Address - Street 1:12550 NEW BRITTANY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3655
Practice Address - Country:US
Practice Address - Phone:239-343-9265
Practice Address - Fax:239-343-9268
Is Sole Proprietor?:No
Enumeration Date:2017-08-30
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN1838732163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator