Carla Diane Stewart FNP-BC

NPI 1164628475 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1164628475
Gender Female
Enumeration Date 06/23/2007
Last Updated 12/12/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
25837 OAK ST
#228
LOMITA CA, 90717-3156, US
Phone (310) 962-9813
Fax
Business Location
25837 OAK ST
#228
LOMITA CA, 90717-3156, US
Phone (310) 962-9813
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 504098
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According to our database, Carla Diane Stewart FNP-BC NPI is 1164628475, taxonomy code is 363LF0000X and license number is 504098, license state is located at California. Carla Diane Stewart FNP-BC physically located at 25837 Oak St, Lomita CA, 90717-3156. NPI Number Carla Diane Stewart FNP-BC has the Individual type.

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1164628475 NPI number is provided on an as is basis without warranty of any kind. 1164628475 is maintained by the National Plan & Provider Enumeration System. The contents of Carla Diane Stewart FNP-BC are for informational purposes only.