Healthcare Provider Details

I. General information

NPI: 1922925015
Provider Name (Legal Business Name): CHARITY LYNN STEWART
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MEDICAL PARK STE 300
WHEELING WV
26003-6392
US

IV. Provider business mailing address

4303 HIGHLAND AVE
SHADYSIDE OH
43947-1226
US

V. Phone/Fax

Practice location:
  • Phone: 304-243-6442
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.330123
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: