| Doctor Name: | CARLA DIANE STEWART |
| NPI Number: | 1164628475 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 504098 |
| Business Practice Address: | 25837 Oak St #228 Lomita, CA - 907173156 |
| Business Phone Number: | 3109629813 |
| Business Fax Number: | |
| Mailing Address: | 25837 Oak St, #228 LOMITA |
| State: | CA |
| Postal Code: | 907173156 |
| Phone Number: | 3109629813 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2007 |
| NPI Last Update Date: | 12/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 504098 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |