Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP30005819 | WA |
NPI | 1033201512 |
---|---|
Provider Name | Vernetta M. Stewart |
First Address | Everett, WA 98201-1665 |
Second Address | Everett, WA 98201-1665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 03/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9637232 | (05) | WA |
Q12398 | (02) | WA |