Provider Demographics
NPI:1699001354
Name:MARKHAM, SERANA SPALDING (ANP)
Entity Type:Individual
Prefix:MRS
First Name:SERANA
Middle Name:SPALDING
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MISS
Other - First Name:SERANA
Other - Middle Name:LYZANNE MARIE
Other - Last Name:SPALDING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:5003 OLD CLINIC CB# 7550
Mailing Address - Street 2:UNC HOSPITALS, UNC-SOM
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7550
Mailing Address - Country:US
Mailing Address - Phone:919-966-5945
Mailing Address - Fax:336-251-1117
Practice Address - Street 1:6011 FARRINGTON ROAD, SUITE 101
Practice Address - Street 2:UNC GERIATRIC CLINIC
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517
Practice Address - Country:US
Practice Address - Phone:919-966-5945
Practice Address - Fax:336-251-1117
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5004540363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology