Individual
MRS. SHIRLEY MACK SOPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 MANNING DR, UNC HOSPITALS, CHAPEL HILL, NC 27514
(919) 966-5136
Mailing address
2606 CREEK RIDGE LANE, CHAPEL HILL, NC 27514-7455
(919) 932-1365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
140874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050562
—
NC
Enumeration date
01/17/2006
Last updated
02/21/2024
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