Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACY CRISTMAN THIEDEMAN, PA-C
ActiveMRS. STACY CRISTMAN THIEDEMAN, PA-C is a Physician Assistant healthcare provider located in RALEIGH, North Carolina. NPI 1154335800 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RALEIGH, NC
Registration Details
- NPI Number
- 1154335800
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2006 (20.071909151761 yrs)
- Last Updated
- Apr 13, 2021
- License
-
102584 (NC)
Practice Information
- Address
-
23 SUNNYBROOK RDSUITE NUMBER 113RALEIGH, NC, 276101855Browse NC providers · Browse ZIP 27610
- Phone
- 9192500580
- Fax
- 9192509939
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL EDWARD WIEGERT | PA-C | 1104822592 |
| ELIZABETH FULLER | PA | 1144228008 |
| PAMELA BURLESON | PA-C | 1447258306 |
| I-LING YU | PA-C | 1477551364 |
| MRS. ELIZABETH JAYNES TURNER | PA-C | 1134127905 |
| MR. DANA W JOHNSON | PA-C | 1659379428 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.