Individual
MS. CAROLINE MARIE STUART
Active
Individual
MS. CAROLINE MARIE STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
PA-2010
ID
363A00000X
Physician Assistant
PA61116968
WA
363AM0700X
Medical Physician Assistant
PA-2010
ID
363AS0400X
Surgical Physician Assistant
PA-2010
ID
363AS0400X
Surgical Physician Assistant
Primary
PA61116968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902293756
—
ID
Enumeration date
04/20/2015
Last updated
06/03/2026
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