Individual
SHIRLEY STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 596-4502
(719) 597-2668
Mailing address
6190 BARNES RD, COLORADO SPRINGS, CO 80922-2600
(719) 596-4502
(719) 597-2668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
89250
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07892508
—
CO
Enumeration date
07/05/2005
Last updated
07/08/2007
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