Individual
PAMELA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4950 NORTON HEALTHCARE BLVD STE 305, LOUISVILLE, KY 40241-2849
(502) 394-6440
(502) 394-6465
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704281811
MI
363L00000X
Nurse Practitioner
4704281811
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
3013053
KY
Other
Enumeration date
02/20/2013
Last updated
01/28/2021
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