Individual
ALEX STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
2727 HEARNE AVE, STE 300, SHREVEPORT, LA 71103-3917
(318) 795-4607
(318) 213-7276
Mailing address
PO BOX 51008, SHREVEPORT, LA 71135-1008
(318) 795-4607
(318) 213-7276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP09023
LA
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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