Individual
STEFANIE STELLFOX EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2029 VALLEYGATE DR STE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Mailing address
6849 S STAFF RD, FAYETTEVILLE, NC 28306-2508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
127596
NC
163WX0002X
High-Risk Obstetric Registered Nurse
127596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127596
REGISTER NURSE LICENSE
NC
Enumeration date
07/09/2009
Last updated
07/09/2009
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