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General NPI Number Information
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NPI Number | 1982345880
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Entity Type | Individual
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Provider Name | ALEXANDRA N STEWART PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 805 EAGLERIDGE BLVD STE 140
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City | PUEBLO
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State | CO
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Zip | 81008-2354
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Country | US
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Telephone | 719-679-5022
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Fax | 719-888-1673
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Provider Business Mailing Address
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Address Line | 805 EAGLERIDGE BLVD STE 140
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City | PUEBLO
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State | CO
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Zip | 81008-2354
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Country | US
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Telephone | 316-655-1470
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | APN.0997439-NP
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License Number State | CO
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