Individual
LEAH MARIE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
335 OAKWOOD AVE, EAST PEORIA, IL 61611-3644
(309) 202-3062
Mailing address
106 DUEVER ST, EAST PEORIA, IL 61611-3406
(309) 202-3062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041347263
IL
363LF0000X
Family Nurse Practitioner
Primary
209017485
IL
Other
Enumeration date
02/12/2018
Last updated
05/06/2020
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