Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 144350 | TX |
NPI | 1013523133 |
---|---|
Provider Name | Hollis Hartman Stewart |
First Address | Pittsburgh, PA 15238-2106 |
Second Address | Pittsburgh, PA 15238-2106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2020 |
Last Update Date | 23/09/2020 |