Individual
MR. ANDRE RECARDO STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
5756 N 12TH ST, PHILADELPHIA, PA 19141-4111
(215) 828-2426
Mailing address
5756 N 12TH ST, PHILADELPHIA, PA 19141-4111
(215) 828-2426
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025253
PA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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