Healthcare Provider Details

I. General information

NPI: 1639083835
Provider Name (Legal Business Name): SANDY CEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N MEDICAL DRIVE
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

210 N MEDICAL DRIVE
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4260
  • Fax:
Mailing address:
  • Phone: 919-966-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number250993
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: