Healthcare Provider Details

I. General information

NPI: 1821101593
Provider Name (Legal Business Name): RAMONA EDMONDS STEWART ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 VETERANS DR SW VAPSHCS/A116-ICM
TACOMA WA
98493-0003
US

IV. Provider business mailing address

9600 VETERANS DRIVE VAPSHCS/A116-ICM
TACOMA WA
98493
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-1623
  • Fax: 253-589-4087
Mailing address:
  • Phone: 253-583-1623
  • Fax: 253-589-4087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberAP30002083
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: