Provider Demographics
NPI:1912681743
Name:FETZER, SHERRI BEDORE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:BEDORE
Last Name:FETZER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GARDEN SQUARE LN
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5797
Mailing Address - Country:US
Mailing Address - Phone:919-800-7944
Mailing Address - Fax:
Practice Address - Street 1:821 WOODLAND AVE
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-5356
Practice Address - Country:US
Practice Address - Phone:919-895-6339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5018229207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine