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NPI Code Detail

MEDICARE: ELIZABETH STEWARD FNP-C, PMHNP-BC

MEDICARE: ELIZABETH STEWARD FNP-C, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner086006-23NH
2363LP0808XPsychiatric/Mental Health Nurse Practitioner086006-23NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730501818
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH STEWARD FNP-C, PMHNP-BC
Provider Business Mailing Address
First Line : PO BOX 5379
Second Line :
City : WEST LEBANON
State : NH
Zip : 03784-5379
Country : US
Telephone Number : 207-977-4443
Fax Number : 931-208-3613
Provider Business Practice Location Address
First Line : 170 COMMERCE WAY STE 200
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3272
Country : US
Telephone Number : 207-977-4443
Fax Number : 931-208-3613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2014
Last Update Date : 12/01/2025

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