Healthcare Provider Details

I. General information

NPI: 1144652959
Provider Name (Legal Business Name): MARIA LYNN STEWART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10210 N 92ND ST STE 104
SCOTTSDALE AZ
85258-4531
US

IV. Provider business mailing address

3625 CROSSINGS DR STE C
PRESCOTT AZ
86305-7159
US

V. Phone/Fax

Practice location:
  • Phone: 480-493-0900
  • Fax: 833-972-4809
Mailing address:
  • Phone: 480-493-4808
  • Fax: 833-972-4808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number221020
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: