Individual
MS. BRENDA DAWN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
97 SHERMAN DR, NVRH ST JOHNSBURY PEDIATRICS, ST JOHNSBURY, VT 05819-9280
(802) 748-5131
(802) 748-4237
Mailing address
97 SHERMAN DR, ST JOHNSBURY, VT 05819-9280
(802) 748-5131
(802) 748-4237
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
022856-23-02
NH
363LP0200X
Pediatric Nurse Practitioner
Primary
101-0013323
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009107
—
VT
05
—
3072096
—
NH
Enumeration date
01/04/2006
Last updated
06/25/2013
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