Individual
MRS. MARY LYNNE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
107 S MAIN, D203, COUPEVILLE, WA 98239
(360) 678-5840
(360) 678-1400
Mailing address
5936 S MAXWELTON RD, LANGLEY, WA 98260
(360) 321-6642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
RN00056409
WA
363L00000X
Nurse Practitioner
Primary
AP30003700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11545T
REGENCE
—
Enumeration date
11/16/2006
Last updated
06/05/2014
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