Individual
SHAWNA NICOLE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
11690 CHATHAM, DETROIT, MI 48239-1353
(313) 205-1466
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
4704316388
MI
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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