Provider Demographics
NPI:1013347335
Name:STEWART, HELEN (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4300
Mailing Address - Country:US
Mailing Address - Phone:318-676-7470
Mailing Address - Fax:318-676-7560
Practice Address - Street 1:3022 OLD MINDEN RD
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-2477
Practice Address - Country:US
Practice Address - Phone:318-741-7492
Practice Address - Fax:318-741-7441
Is Sole Proprietor?:No
Enumeration Date:2013-11-22
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN054172163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health