Individual provider · Type 1 NPI

Stacie A. Sidebotham, FNP

Family Nurse Practitioner · Fayetteville, NC

NPI number 1710287263 Active

Practice location

405 Owen Dr
Fayetteville, NC 28304-3411

Call (910) 323-3183 Map

Fax (910) 323-5488

Mailing address

413 Owen Dr, Ste 201
Fayetteville, NC 28304-3490

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	5004935 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1710287263

Stacie A. Sidebotham, FNP's National Provider Identifier is 1710287263, issued on Nov 1, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 7, 2016.