Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN00533 | NV |
NPI | 1023298791 |
---|---|
Provider Name | Lorraine E Stewart |
First Address | Henderson, NV 89074-0608 |
Second Address | N. Las Vegas, NV 89032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 09/11/2007 |