Basic Information
Provider Information
NPI: 1972991123
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FARINHA-SPENCE
FirstName: SHERON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11350 MCCORMICK RD
Address2: EXECUTIVE PLAZA 1, STE. 501
City: HUNT VALLEY
State: MD
PostalCode: 210314430
CountryCode: US
TelephoneNumber: 7039148000
FaxNumber:  
Practice Location
Address1: 5948 TURKEY LAKE RD
Address2:  
City: ORLANDO
State: FL
PostalCode: 328194202
CountryCode: US
TelephoneNumber: 4072888080
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/22/2014
LastUpdateDate: 01/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP7490AZN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XARNP9466316FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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