Provider Demographics
NPI:1033197447
Name:YANUCK, CHERYL HOFFMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:HOFFMAN
Last Name:YANUCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:101 CLOISTER COURT
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2207
Mailing Address - Country:US
Mailing Address - Phone:919-493-0406
Mailing Address - Fax:919-493-6808
Practice Address - Street 1:101 CLOISTER COURT
Practice Address - Street 2:SUITE B
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2207
Practice Address - Country:US
Practice Address - Phone:919-493-0406
Practice Address - Fax:919-493-6808
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC357932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89678OtherBLUE CROSS BLUE SHIELD
NC89678OtherBLUE CROSS BLUE SHIELD
F35029Medicare UPIN