Individual
MRS. ANGELA MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, RN FA
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
(845) 454-6080
Mailing address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
(845) 454-6080
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
547571
NY
163WR0006X
Registered Nurse First Assistant
RN528629L
PA
363LA2200X
Adult Health Nurse Practitioner
305888
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012771
PA
Other
Enumeration date
08/03/2010
Last updated
09/06/2013
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