Provider Demographics
NPI:1407037880
Name:STEWART, TERRI CHEW (RN)
Entity Type:Individual
Prefix:MS
First Name:TERRI
Middle Name:CHEW
Last Name:STEWART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13485
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92039-3485
Mailing Address - Country:US
Mailing Address - Phone:858-752-8525
Mailing Address - Fax:858-408-2876
Practice Address - Street 1:7650 PALMILLA DR
Practice Address - Street 2:UNIT #3
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-5070
Practice Address - Country:US
Practice Address - Phone:858-752-8525
Practice Address - Fax:858-408-2876
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA270948163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse