Provider Demographics
NPI:1013463249
Name:STEWART, LINDSEY M (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:STEWART
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ELDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:15736
Mailing Address - Country:US
Mailing Address - Phone:724-354-5258
Mailing Address - Fax:
Practice Address - Street 1:116 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ELDERTON
Practice Address - State:PA
Practice Address - Zip Code:15736
Practice Address - Country:US
Practice Address - Phone:724-354-5258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP016456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily