Individual provider · Type 1 NPI

Carol Elaine Stewart, FNP

Primary Care Nurse Practitioner · Lakeside, AZ

NPI number 1174952741 Active

Practice location

12 N Woodland Rd
Lakeside, AZ 85929-6563

Mailing address

2051 Evergreen Ln, Ste D
Show Low, AZ 85901-7928

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP5196 (AZ)

Primary Care Nurse Practitioner: Definition to come...

About NPI 1174952741

Carol Elaine Stewart, FNP's National Provider Identifier is 1174952741, issued on Nov 4, 2013. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lakeside, AZ. The record was last updated on Jul 24, 2018.