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Individual

MS. DANISHA STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1950 SPECTRUM CIR SE, MARIETTA, GA 30067-8479
(678) 921-2706
(877) 850-1971
Mailing address
4328 PARK GATE DR, ATLANTA, GA 30344-7055
(770) 624-0984

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN207277
GA
363LF0000X
Family Nurse Practitioner
RN207277
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RN207277
GA
Enumeration date
01/30/2019
Last updated
10/25/2021
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