Provider Demographics
NPI:1760682702
Name:SHERMAN, ANGELA (DNP, ARNP)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:DNP, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 FICQUETTE RD
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-6902
Mailing Address - Country:US
Mailing Address - Phone:954-663-1426
Mailing Address - Fax:407-614-1444
Practice Address - Street 1:8081 TURKEY LAKE RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7387
Practice Address - Country:US
Practice Address - Phone:407-362-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101Y00000X
FLARNP9319292363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor