Stewart, Angela Renee

Stewart, Angela Renee is an individual health care provider with primary practice located at 3232 N Northhills Blvd , Fayetteville AR 72703-4005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Stewart, Angela Renee can be contacted via phone (479) 587-1700.

Contact Information

Primary practice address
3232 N Northhills Blvd Fayetteville AR 72703-4005
Fax: (479) 587-1366
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X A02933 ANP Arkansas

Profile Details

NPI number 1588675037
LBN Legal business name Stewart, Angela Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588675037 NPPES
Missouri MEDICAID 1558675037
Missouri MEDICAID 180413758
Missouri MEDICAID 200269070 A
Missouri Other A02933

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