Stewart, Elizabeth Windom
Stewart, Elizabeth Windom is an individual health care provider with primary practice located at 300 Bull St Ste 102 , Savannah GA 31401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Stewart, Elizabeth Windom can be contacted via phone (912) 350-2600.Contact Information
Primary practice address
300 Bull St Ste 102
Savannah GA 31401
Phone: (912) 350-2600
Fax: (912) 232-1148
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN107561 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN107561 | Georgia |
Profile Details
| NPI number | 1306112248 |
|---|---|
| LBN Legal business name | Stewart, Elizabeth Windom |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2012 |
| Last updated | Jul 5th, 2018 - about 8 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 | 1306112248 | NPPES |
| Georgia | MEDICAID | 003124271A | |
| Georgia | Other | 691336 | |
| Georgia | Other | P01063068 |
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