MEDICARE: SHARON DAVINROY NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	5009722	NC
2	363LF0000X	Family Nurse Practitioner	5009722	NC

General Provider Information

NPI Number	:	1174048037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON DAVINROY NP-C

Provider Business Mailing Address
First Line	:	315 SPARROW DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-8227
Country	:	US
Telephone Number	:	910-973-2572
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 SPARROW DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-8227
Country	:	US
Telephone Number	:	910-973-2572
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	07/02/2025

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