Provider Demographics
NPI:1831301878
Name:STEWART, MARIA E (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:E
Last Name:STEWART
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42939 VICTORVILLE PL
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-6264
Mailing Address - Country:US
Mailing Address - Phone:661-942-2302
Mailing Address - Fax:
Practice Address - Street 1:38350 40TH ST E STE 200
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-3075
Practice Address - Country:US
Practice Address - Phone:661-726-6326
Practice Address - Fax:661-726-6333
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP6731261QA0005X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
Not Answered261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine