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NPI Code Detail

MEDICARE: MS. DOROTHY LEE STEWART RN

MEDICARE:  MS. DOROTHY LEE STEWART  RN
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
1163W00000XRegistered NurseSN0133AZ

General Provider Information

NPI Number : 1124177811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DOROTHY LEE STEWART RN
Provider Business Mailing Address
First Line : 140 S GILBERT RD
Second Line :
City : GILBERT
State : AZ
Zip : 85296-1016
Country : US
Telephone Number : 480-813-0051
Fax Number : 480-632-4797
Provider Business Practice Location Address
First Line : 4301 E GUADALUPE RD
Second Line : HIGHLAND HIGH SCHOOL
City : HIGLEY
State : AZ
Zip : 85236-3601
Country : US
Telephone Number : 480-813-0051
Fax Number : 480-632-4797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 07/08/2007

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Directions to “ MS. DOROTHY LEE STEWART RN” Practice Location

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