Individual
KATHRYN MEREDITH RAABE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC, RN, MSN
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0429
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0429
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024168942
VA
363LP0222X
Critical Care Pediatric Nurse Practitioner
0024168942
VA
364SP0200X
Pediatric Clinical Nurse Specialist
0001176310
VA
Other
Enumeration date
08/20/2010
Last updated
07/21/2021
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