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Individual

DARRYL STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGPCNP-BC

Contact information

Practice address
1201 SEVEN LOCKS RD, SUITE 111, ROCKVILLE, MD 20854-2931
(301) 762-5020
(301) 294-7569
Mailing address
PO BOX 79632, BALTIMORE, MD 21279-0632
(301) 762-5020
(301) 309-3783

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R189085
MD
363LG0600X
Gerontology Nurse Practitioner
R189085
MD
363LP2300X
Primary Care Nurse Practitioner
R189085
MD

Other

Enumeration date
07/29/2014
Last updated
08/20/2015
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