| Doctor Name: | MRS. SHANNON LEAH STEWART |
| NPI Number: | 1316389497 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | A088994 |
| Business Practice Address: | 575 N Sioux Point Rd Dakota Dunes, SD - 570495312 |
| Business Phone Number: | 6052172667 |
| Business Fax Number: | 6052172900 |
| Mailing Address: | 575 N Sioux Point Rd, DAKOTA DUNES |
| State: | SD |
| Postal Code: | 570495312 |
| Phone Number: | 6052172667 |
| Fax Number: | 6052172900 |
| NPI Enumeration Date: | 07/18/2013 |
| NPI Last Update Date: | 12/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A088994 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |