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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306824958 | NPPES |
| Vermont | MEDICAID | 1009107 | |
| Vermont | MEDICAID | 3072096 |
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