Individual
MRS. DIANE BROCK STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
14 FOXFIRE LN, CLINTON, NJ 08809-2012
(908) 713-0420
(908) 713-9752
Mailing address
14 FOXFIRE LN, CLINTON, NJ 08809-2012
(908) 713-0420
(908) 713-9752
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00108900
NJ
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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