MEDICARE: DR. ADRIENNE STEWART N.D.

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	175F00000X	Naturopath	ND791	CA

General Provider Information

NPI Number	:	1700185014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIENNE STEWART N.D.

Provider Business Mailing Address
First Line	:	2831 CAMINO DEL RIO S
Second Line	:	SUITE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3802
Country	:	US
Telephone Number	:	619-345-3111
Fax Number	:	844-685-9511

Provider Business Practice Location Address
First Line	:	2831 CAMINO DEL RIO S
Second Line	:	SUITE 203
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-3802
Country	:	US
Telephone Number	:	619-345-3111
Fax Number	:	844-685-9511

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

Provider Enumeration Date	:	03/25/2011
Last Update Date	:	02/07/2017

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