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Individual
PAMELA STEWART
Active
Individual
PAMELA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704281811
MI
363L00000X
Nurse Practitioner
4704281811
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
3013053
KY
Other
Enumeration date
02/20/2013
Last updated
01/28/2021
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