Individual
YOLANDA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
1117 BENDING OAK DR APT 423, FORT WORTH, TX 76108-7012
(817) 386-3476
Mailing address
1117 BENDING OAK DR APT 423, FORT WORTH, TX 76108-7012
(817) 386-3476
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
1619154
CO
163WM0705X
Medical-Surgical Registered Nurse
1619154
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/21/2019
Last updated
06/11/2019
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