Individual
MILDRETH SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, ENP-C
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-3424
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVENUE ATTN: MANAGED CARE PLANNING, FORT BRAGG, NC 28310-3424
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007057
NC
Other
Enumeration date
10/02/2014
Last updated
03/17/2025
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