Healthcare Provider Details

I. General information

NPI: 1740867886
Provider Name (Legal Business Name): NATALIE A STEWART WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NATALIE KOLB

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COLLEY AVE
NORFOLK VA
23507-1627
US

IV. Provider business mailing address

601 COLLEY AVE
NORFOLK VA
23507-1627
US

V. Phone/Fax

Practice location:
  • Phone: 757-937-7955
  • Fax: 757-937-7217
Mailing address:
  • Phone: 757-937-7955
  • Fax: 757-937-7217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0024180758
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: