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General NPI Number Information
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NPI Number | 1174412142
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Entity Type | Organization
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Legal Business Name | MICHELLE STEWART NURSING, INC.
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 7200 PARKWAY DR STE 109
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City | LA MESA
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State | CA
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Zip | 91942
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Country | US
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Telephone | 619-303-8363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 880246
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City | SAN DIEGO
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State | CA
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Zip | 92168-0246
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE STEWART
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Credential | NP
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Telephone | 619-303-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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