Provider Demographics
NPI:1538704861
Name:STEWARD, JANET CHRISTINE
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:CHRISTINE
Last Name:STEWARD
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 1:2768 CANBY WAY
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-6676
Mailing Address - Country:US
Mailing Address - Phone:970-231-1234
Mailing Address - Fax:
Practice Address - Street 1:2768 CANBY WAY
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-6676
Practice Address - Country:US
Practice Address - Phone:970-231-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider