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NPI Code Detail

MEDICARE: STEPHANIE MICHELLE STEWART CRNA

MEDICARE: STEPHANIE MICHELLE STEWART CRNA
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
1367500000XCertified Registered Nurse Anesthetist20055SC
2367500000XCertified Registered Nurse AnesthetistD139850IA

General Provider Information

NPI Number : 1366829335
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MICHELLE STEWART CRNA
Provider Business Mailing Address
First Line : 7900 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-3055
Country : US
Telephone Number : 843-449-3381
Fax Number : 843-449-9721
Provider Business Practice Location Address
First Line : 7900 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-3055
Country : US
Telephone Number : 843-449-3381
Fax Number : 843-449-9721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2015
Last Update Date : 01/30/2026

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Directions to “ STEPHANIE MICHELLE STEWART CRNA” Practice Location

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