Individual
SAMANTHA ANN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PIKE ST, COVINGTON, KY 41011-2321
(901) 482-9567
Mailing address
3546 LINWOOD AVE, CINCINNATI, OH 45226-1402
(901) 482-9567
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0031132
OH
363LF0000X
Family Nurse Practitioner
18794
TN
363LF0000X
Family Nurse Practitioner
Primary
3016307
KY
Other
Enumeration date
06/19/2014
Last updated
06/09/2022
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