Individual
AMANDA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
333 N SANTA ROSA ST, SAN ANTONIO, TX 78207-3108
(210) 704-2938
Mailing address
315 N SAN SABA, SUITE 1135, SAN ANTONIO, TX 78207-3154
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
17891
SC
Other
Enumeration date
10/10/2012
Last updated
09/10/2015
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