Kelley Suzanne Stewart, FNP
Registered Nurse in Berkeley, CA. Individual provider (NPI-1).
NPI number1376947622
StatusActive
Last updated in NPPESOct 15, 2014
Details
- NPI
- 1376947622
- Entity type
- Individual (NPI-1)
- Name
- Kelley Suzanne Stewart
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2014
- Last updated
- Oct 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 752908 | CA | Yes |
Practice location
2031 6th StBerkeley, CA 94710-2006
Phone 510-981-4100
Mailing address
837 Addison StreetBerkeley, CA 94710
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