Individual
MICHEALA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
100 W 17TH ST STE D, MOUNTAIN GROVE, MO 65711-1060
(417) 349-4100
Mailing address
10966 DOGWOOD RD, MOUNTAIN GROVE, MO 65711-2195
(417) 299-0698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2024024221
MO
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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