Mariah Anne Stewart
Specialist/Technologist, Athletic Trainer in Prescott, WI. Individual provider (NPI-1).
NPI number1790259554
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1790259554
- Entity type
- Individual (NPI-1)
- Name
- Mariah Anne Stewart
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2019
- Last updated
- Jan 15, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
N6382 1297th StPrescott, WI 54021-7034
Phone 715-441-8598
Mailing address
N6382 1297th StPrescott, WI 54021-7034
Phone 715-441-8598
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Other Athletic Trainer providers in Prescott, WI
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