Individual
MARLISE STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(800) 607-6377
Mailing address
3100 TELEGRAPH AVE, OAKLAND, CA 94609-3239
(800) 607-6377
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
811740
CA
163WF0300X
Flight Registered Nurse
196138
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
95001712
CA
Other
Enumeration date
09/04/2019
Last updated
09/26/2023
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