Individual
STEWART IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
704 EDWARDS, WESTCLIFFE, CO 81252-8588
(719) 783-2380
(719) 783-2377
Mailing address
704 EDWARDS, WESTCLIFFE, CO 81252-8588
(719) 783-2380
(719) 783-2377
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
279986
NC
363LF0000X
Family Nurse Practitioner
5008002
NC
363LF0000X
Family Nurse Practitioner
Primary
APN.0992886-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64135071
—
CO
01
—
P01622948
RR MEDICARE
ND
Enumeration date
09/24/2015
Last updated
05/04/2021
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