Doctor Name: | NETTA STEWART |
NPI Number: | 1689641920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN0000081069 |
Business Practice Address: | 650 Joel Dr. Blanchfield Army Community Hospital Ft. Campbell, KY - 422235349 |
Business Phone Number: | 2707988372 |
Business Fax Number: | 2709560180 |
Mailing Address: | 650 Joel Dr, Blanchfield Army Community Hospital FT. CAMPBELL |
State: | KY |
Postal Code: | 422235349 |
Phone Number: | 2707988372 |
Fax Number: | 2709560180 |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | RN0000081069 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |