CARLA DIANE STEWART FNP-BC
NPI 1164628475
Nurse Practitioner - Family in Lomita, CA
Active since June 23, 2007
About Carla Diane Stewart Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA DIANE STEWART FNP-BC (NPI 1164628475) is an individual family provider in Lomita, California, licensed in California (9972) and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1164628475
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA DIANE STEWARTCredential: FNP-BC
Location Address25837 OAK ST, #228Lomita, CA 90717-3156
Mailing Address25837 Oak St, #228Lomita, CA 90717-3156 · (310) 962-9813
Phone(310) 962-9813
Sole ProprietorNo
Enumeration DateJune 23, 2007
Last NPPES UpdateDecember 12, 2008
✔ NPI 1164628475 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 9972✔ Licensed in CA · 504098
25837 OAK ST, Lomita, CA 90717
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164628475, enumerated as an "individual" on June 23, 2007.
The provider is located at 25837 OAK ST #228 LOMITA, CA 90717 and the phone number is (310) 962-9813.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
