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NPI Code Detail

MEDICARE: MRS. TYESHA NATAE' STEWART APRN

MEDICARE:  MRS. TYESHA NATAE' STEWART  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9356305FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023550035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TYESHA NATAE' STEWART APRN
Provider Business Mailing Address
First Line : PO BOX 917770
Second Line :
City : ORLANDO
State : FL
Zip : 32891-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33634-6322
Country : US
Telephone Number : 866-949-0108
Fax Number : 901-422-7636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2016
Last Update Date : 03/23/2023

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