Individual
MRS. LISA CAROL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGAC-NP BC
Contact information
Practice address
800 8TH AVE STE 206, FORT WORTH, TX 76104-2619
(817) 529-9199
Mailing address
800 8TH AVE STE 206, FORT WORTH, TX 76104-2619
(817) 529-9199
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1019615
TX
363LG0600X
Gerontology Nurse Practitioner
1019615
TX
Other
Enumeration date
05/15/2021
Last updated
05/15/2021
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