Individual
CHARLA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(870) 830-3993
Mailing address
PO BOX 321, CARLISLE, AR 72024-0321
(870) 830-3993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A005696
AR
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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