MEDICARE: ROXANNE KAY STEWART R.N.

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
1	163W00000X	Registered Nurse	34530	NE

General Provider Information

NPI Number	:	1457428732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNE KAY STEWART R.N.

Provider Business Mailing Address
First Line	:	15624 L ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68135-1106
Country	:	US
Telephone Number	:	402-450-9281
Fax Number	:

Provider Business Practice Location Address
First Line	:	8055 O ST STE 119B
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68510-2565
Country	:	US
Telephone Number	:	402-421-1119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	04/23/2025

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