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Individual

SHANA FARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2300 DULANEY VALLEY RD, TIMONIUM, MD 21093-2700
(410) 252-4500
Mailing address
2300 DULANEY VALLEY RD, TIMONIUM, MD 21093-2700
(410) 252-4500

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R208821
MD

Other

Enumeration date
01/24/2023
Last updated
10/21/2024
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