Provider Demographics
NPI:1568174803
Name:SANBORN, HOPE S
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:S
Last Name:SANBORN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 TOQUIMA TRL
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-6339
Mailing Address - Country:US
Mailing Address - Phone:704-936-7336
Mailing Address - Fax:
Practice Address - Street 1:1010 TOQUIMA TRL
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-6339
Practice Address - Country:US
Practice Address - Phone:704-936-7336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program