Individual
TASIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-BC
Contact information
Practice address
5103 UTICA RIDGE RD, DAVENPORT, IA 52807-3062
(860) 316-2738
Mailing address
918 E 10TH ST, DAVENPORT, IA 52803-5615
(563) 639-8138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A177834
IA
Other
Enumeration date
03/11/2024
Last updated
05/28/2024
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