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Search › North Carolina › 363A00000X

Stacy Thiedeman, PA-C

NPI 1154335800 · on the registry since 2006

Practice

Address
23 Sunnybrook Rd
Suite Number 113
Raleigh, NC 27610
Phone
(919) 250-0580
Fax
(919) 250-9939
Organisation at this address
Wakemed Specialists Group Llc
Wakemed Specialists Group Llc
Wake Specialty Physicians Llc
Wakemed Specialists Group, Llc
Wakemed Specialists Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
75

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina