Individual
ALLEN M STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
9535 E 151ST ST, NOBLESVILLE, IN 46060-0050
(317) 523-9160
Mailing address
9 LANSDOWNE LN, CARMEL, IN 46033-1932
(317) 417-2593
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003998A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201073490
—
IN
01
—
P01456885
RR MEDICARE
IN
Enumeration date
06/08/2012
Last updated
12/27/2022
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