Individual
BETH JANELLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
(618) 529-0529
Mailing address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
(618) 529-0529
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.362211
IL
163W00000X
Registered Nurse
2009007496
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209011245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTI SPECIALTY GROUP
IL
Enumeration date
02/07/2014
Last updated
06/15/2021
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