| Doctor Name: | MRS. CASIE M STEWART |
| NPI Number: | 1417258146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 2010037003 |
| Business Practice Address: | 527 Benham St Bonne Terre, MO - 636281205 |
| Business Phone Number: | 5733585577 |
| Business Fax Number: | 5733585458 |
| Mailing Address: | 200 Health Way Dr, POTOSI |
| State: | MO |
| Postal Code: | 636641434 |
| Phone Number: | 5733585577 |
| Fax Number: | 5733585458 |
| NPI Enumeration Date: | 11/11/2010 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2010037003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |