| Organization Name: | BARBARA STEWART ANP LLC |
| NPI Number: | 1063796191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BARBARA STEWART (PRESIDENT) |
| Mailing Address: | 236 Echo Way Eagle Point |
| State: | OR US |
| Postal Code: | 975249626 |
| Phone Number: | 5412618444 |
| Fax Number: | |
| NPI Enumeration Date: | 10/07/2011 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 076037070N3 ANP PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |