Healthcare Provider Details

I. General information

NPI: 1912754730
Provider Name (Legal Business Name): MEREDITH KAY STEWARD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2024
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10590 N MERIDIAN ST STE 105
CARMEL IN
46290-1028
US

IV. Provider business mailing address

10590 N MERIDIAN ST STE 105
CARMEL IN
46290-1028
US

V. Phone/Fax

Practice location:
  • Phone: 317-583-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number28243396A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71015380A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: