Provider Demographics
NPI:1073103453
Name:STEWART, ANDREA M (CRNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:STEWART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TIMBER COURT BUILDING
Mailing Address - Street 2:127 ANDERSON ST, SUITE 101
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212
Mailing Address - Country:US
Mailing Address - Phone:412-515-0000
Mailing Address - Fax:
Practice Address - Street 1:TIMBER COURT BUILDING
Practice Address - Street 2:127 ANDERSON ST, SUITE 101
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-1521
Practice Address - Country:US
Practice Address - Phone:412-515-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily