Healthcare Provider Details

I. General information

NPI: 1659918274
Provider Name (Legal Business Name): ANRY TONI-ANN STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2019
Last Update Date: 11/14/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 NW 60TH AVE
SUNRISE FL
33313-2941
US

IV. Provider business mailing address

2330 NW 60TH AVE
SUNRISE FL
33313-2941
US

V. Phone/Fax

Practice location:
  • Phone: 954-554-7926
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberL6-0A10910
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9314918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: