Doctor Name: | MS. MICHELE STEWART |
NPI Number: | 1285604538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 302197 |
Business Practice Address: | 13 Ithaca St Horseheads, NY - 148451709 |
Business Phone Number: | 6077955015 |
Business Fax Number: | 6077955018 |
Mailing Address: | 215 Elmwood Ave, Po Box 2169 ELMIRA HEIGHTS |
State: | NY |
Postal Code: | 149031736 |
Phone Number: | 6077333639 |
Fax Number: | 6077331292 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 302197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |