Individual
R SUSAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2002 LELARAY ST, SUITE 100, COLORADO SPRINGS, CO 80909-2804
(719) 632-7641
Mailing address
2002 LELARAY ST, SUITE 100, COLORADO SPRINGS, CO 80909-2804
(719) 632-7641
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
53226
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04838254
—
CO
Enumeration date
09/14/2006
Last updated
08/12/2011
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