Individual
MARSENA MAYFIELD STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1900 MAIN AVE SW, CULLMAN, AL 35055
(256) 734-3759
(256) 734-9764
Mailing address
1900 MAIN AVE SW, CULLMAN, AL 35055
(256) 734-3759
(256) 734-9764
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-073260
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-073260
ALABAMA LICENSE NUMBER
AL
Enumeration date
08/23/2006
Last updated
03/29/2011
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