Individual
MELANIE LYNNE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 272-3342
(505) 272-6692
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2018017305
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018017305
—
NM
Enumeration date
11/08/2018
Last updated
07/05/2023
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