Provider Demographics
NPI:1508636580
Name:FARWELL, CHERYL S (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:S
Last Name:FARWELL
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 NE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-4977
Mailing Address - Country:US
Mailing Address - Phone:352-877-0812
Mailing Address - Fax:
Practice Address - Street 1:3716 NE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4977
Practice Address - Country:US
Practice Address - Phone:352-877-0812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLA-3666779171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach