Healthcare Provider Details

I. General information

NPI: 1477432326
Provider Name (Legal Business Name): DONALD DEAN HOVANDER MSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 UNIVERSITY DR STE 105
BURLINGTON NC
27215-8787
US

IV. Provider business mailing address

2209 BEAVERBROOK DR
GREENSBORO NC
27406-9410
US

V. Phone/Fax

Practice location:
  • Phone: 336-584-5659
  • Fax: 336-584-4072
Mailing address:
  • Phone: 336-601-7403
  • Fax: 336-601-7403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number207427
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number207427
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: