Provider Demographics
NPI:1225699291
Name:STEWART, ARLENE F
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:F
Last Name:STEWART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 GREENLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43223-2616
Mailing Address - Country:US
Mailing Address - Phone:614-449-9664
Mailing Address - Fax:614-444-7919
Practice Address - Street 1:880 GREENLAWN AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43223-2616
Practice Address - Country:US
Practice Address - Phone:614-449-9664
Practice Address - Fax:614-444-7919
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator