Individual
CAROL ELAINE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12 N WOODLAND RD, LAKESIDE, AZ 85929-6563
(928) 940-0809
Mailing address
2051 EVERGREEN LN, STE D, SHOW LOW, AZ 85901-7928
(928) 940-0809
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP5196
AZ
Other
Enumeration date
11/04/2013
Last updated
07/24/2018
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