Provider Demographics
NPI:1225538341
Name:STEWART, SKYE (ND)
Entity Type:Individual
Prefix:DR
First Name:SKYE
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6207 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3255
Mailing Address - Country:US
Mailing Address - Phone:301-704-6792
Mailing Address - Fax:
Practice Address - Street 1:3168 BRAVERTON ST STE 330
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-2680
Practice Address - Country:US
Practice Address - Phone:301-704-6792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDJ0000038175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath