Healthcare Provider Details

I. General information

NPI: 1033032701
Provider Name (Legal Business Name): STEPHANIE SIRHAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 W MAIN ST BAY B
DURHAM NC
27705-4667
US

IV. Provider business mailing address

417 CHAPEL DR
DURHAM NC
27708-9984
US

V. Phone/Fax

Practice location:
  • Phone: 919-660-5771
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: