Individual
SHANA MARIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 MAGELLAN WAY, COVINGTON, KY 41015-1987
(859) 386-3000
(859) 795-9369
Mailing address
100 MAGELLAN WAY, COVINGTON, KY 41015-1987
(859) 386-3000
(859) 759-9369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006946
KY
Other
Enumeration date
12/17/2009
Last updated
05/28/2024
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