Healthcare Provider Details

I. General information

NPI: 1720075559
Provider Name (Legal Business Name): SHARON ELIZABETH VANHORN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 10/22/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 KILDAIRE ROAD SUITE 200
CHAPEL HILL NC
27516-4064
US

IV. Provider business mailing address

301 KILDAIRE ROAD SUITE 200
CHAPEL HILL NC
27516-4064
US

V. Phone/Fax

Practice location:
  • Phone: 919-967-0771
  • Fax: 919-967-9207
Mailing address:
  • Phone: 919-967-0771
  • Fax: 919-967-9207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number39496
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: