# MARY BETH STUART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1013923457
- **Gender:** F
- **Credential:** RPA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 007373 | NY | — |
| 363A00000X | Physician Assistant | 15-01673 | KS | Yes |
| 363A00000X | Physician Assistant | 2014005142 | MO | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 01/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02730032 | — | NY |