Provider Demographics
NPI:1164179545
Name:SITTMANN, STEFANIE ALICE LEDFORD (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:STEFANIE
Middle Name:ALICE LEDFORD
Last Name:SITTMANN
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10395 NC 211 HWY
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-4705
Mailing Address - Country:US
Mailing Address - Phone:910-725-8656
Mailing Address - Fax:
Practice Address - Street 1:10395 NC 211 HWY
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-4705
Practice Address - Country:US
Practice Address - Phone:910-725-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCSITT-YJW2K363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health