Individual
KATRINA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
(212) 241-6500
Mailing address
1146 FOREST AVE, BRONX, NY 10456-5478
(336) 669-7357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404687
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404687-01
NY
Other
Enumeration date
07/07/2023
Last updated
12/27/2024
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