Individual
ELIZABETH C STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Mailing address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
RN243161
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN243161
MA
Other
Enumeration date
05/04/2011
Last updated
07/29/2016
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