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Individual
MITZY D. STEWART
Active
Individual
MITZY D. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
163559-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1635594405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163559-4405
STATE LICENSE NUMBER
UT
05
—
1635594405
—
UT
Enumeration date
01/03/2006
Last updated
09/27/2018
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