# MS. BETTY ELOISA STEWART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093952608
- **Gender:** F
- **Credential:** FNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 334723 | NY | — |
| 363LP2300X | Primary Care Nurse Practitioner | F334723-1 | NY | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 11/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00334723 | — | NY |
| 05 | — | 02732209 | — | NY |
