Individual
MRS. EDNA EUGENIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
39 CUMBERLAND GAP PLAZA, GRAY, KY 40734-1401
(606) 526-9005
(606) 526-8606
Mailing address
P.O. BOX 570, GRACE COMMUNITY HEALTH CTR., GRAY, KY 40734
(606) 526-9005
(606) 526-8606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002563
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78256302
—
KY
Enumeration date
11/06/2006
Last updated
10/07/2011
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