Doctor Name: | DEBRA ANN STEWART |
NPI Number: | 1215135991 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 3005253 |
Business Practice Address: | 625 James Trimble Blvd Paintsville, KY - 412401055 |
Business Phone Number: | 6067893511 |
Business Fax Number: | |
Mailing Address: | Po Box 409013, ATLANTA |
State: | GA |
Postal Code: | 303849013 |
Phone Number: | 8003778721 |
Fax Number: | 3045232241 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 3005253 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |