Individual
MRS. MARIA ISABEL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
214 ROSEBROOK CIR, WHITEHOUSE, TX 75791-3583
(903) 570-5932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
802173
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1030298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1N7050
MEDICARE
TX
Enumeration date
03/23/2021
Last updated
05/21/2024
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