Individual
MS. MARY K STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1125
Mailing address
6 WAR EAGLE RD, BOISE, ID 83716-3004
(208) 392-4572
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
N-25846
ID
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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