WENDI JOHNSON STEWART RN
NPI 1104349711
Registered Nurse - General Practice in Boulder, CO
Active since July 25, 2017
About Wendi Johnson Stewart Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WENDI JOHNSON STEWART RN (NPI 1104349711) is an individual general practice provider in Boulder, Colorado, licensed in Colorado (RN.1620108) and active in the NPI registry since July 2017.
NPPES Registry Identity
NPI1104349711
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameWENDI JOHNSON STEWARTCredential: RN
Location Address3482 BROADWAY STBoulder, CO 80304-1824
Mailing Address3450 Broadway StBoulder, CO 80304-1824 · (303) 413-7799
Phone(303) 413-7799
Sole ProprietorNo
Enumeration DateJuly 25, 2017
✔ NPI 1104349711 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in CO · RN.1620108
3482 BROADWAY ST, Boulder, CO 80304
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104349711, enumerated as an "individual" on July 25, 2017.
The provider is located at 3482 BROADWAY ST BOULDER, CO 80304 and the phone number is (303) 413-7799.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
