Individual
ANDREA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, BSN, RN
Contact information
Practice address
1019 CUMBERLAND FALLS HWY STE D141, CORBIN, KY 40701-2796
(606) 528-5527
(606) 526-9687
Mailing address
1019 CUMBERLAND FALLS HWY STE B201, CORBIN, KY 40701-2793
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100506130
—
KY
Enumeration date
02/01/2018
Last updated
11/16/2018
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