Stewart, Brenda Dawn

Stewart, Brenda Dawn is an individual health care provider with primary practice located at 97 Sherman Dr Nvrh St Johnsbury Pediatrics, St Johnsbury VT 05819-9280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Stewart, Brenda Dawn can be contacted via phone (802) 748-5131.

Contact Information

Primary practice address
97 Sherman Dr Nvrh St Johnsbury Pediatrics St Johnsbury VT 05819-9280
Phone: (802) 748-5131
Fax: (802) 748-4237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 022856-23-02 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 101-0013323 Vermont

Profile Details

NPI number 1306824958
LBN Legal business name Stewart, Brenda Dawn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 25th, 2013 - about 12 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 1306824958 NPPES
Vermont MEDICAID 1009107
Vermont MEDICAID 3072096

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