CARLA DIANE STEWART


Address: 25837 Oak St, #228, Lomita, CA 90717-3156
Phone: 3109629813

CARLA DIANE STEWART (NPI# 1164628475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164628475
Entity Type Individual
Full Name CARLA DIANE STEWART
Credential FNP-BC
Practice Address 25837 Oak St
#228
Lomita
CA 90717-3156
Practice Telephone 3109629813
Mailing Telephone 3109629813
Enumeration Date 2007-06-23
Last Update Date 2008-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9972 CA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
504098 CA Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 25837 OAK ST
#228
City LOMITA
State CA
Zip Code 90717-3156

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LOMITA
Zip Code 90717

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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