| Doctor Name: | MARJORIE SEVERO-STEWART |
| NPI Number: | 1033385166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP004280D |
| Business Practice Address: | 765 Liberty St Suite 111 Meadville, PA - 163352566 |
| Business Phone Number: | 8143366384 |
| Business Fax Number: | 8143361372 |
| Mailing Address: | 765 Liberty St, Suite 111 MEADVILLE |
| State: | PA |
| Postal Code: | 163352566 |
| Phone Number: | 8143366384 |
| Fax Number: | 8143361372 |
| NPI Enumeration Date: | 05/08/2008 |
| NPI Last Update Date: | 05/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | TP004280D |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |