Amanda Marie Stewart, PA-C
Physician Assistant in Independence, IA. Individual provider (NPI-1).
NPI number1871237362
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1871237362
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda Marie Stewart
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2022
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 121759 | IA | Yes |
Practice location
2277 Iowa AveIndependence, IA 50644-9106
Phone 319-334-2583 · Fax 319-334-5204
Mailing address
2277 Iowa AveIndependence, IA 50644-9106
Phone 319-334-2583
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