Individual
ANNA H. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 LINE AVE, SUITE 204, SHREVEPORT, LA 71101-4639
(318) 629-5001
(318) 629-5020
Mailing address
1500 LINE AVE, SUITE 202, SHREVEPORT, LA 71101-4639
(318) 629-5505
(318) 629-5506
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
114179
LA
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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