Individual
MS. HOLLY L STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
100 CAMPUS AVE, SUITE 208, LEWISTON, ME 04240-6040
(207) 777-8974
(207) 777-8946
Mailing address
PO BOX 10187, ALBANY, NY 12201-5187
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R049238
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431966499
—
ME
Enumeration date
07/04/2006
Last updated
02/20/2013
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