Provider Demographics
NPI:1013703339
Name:STEWART, CHERYL LYNN (BS)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:STEWART
Suffix:
Gender:
Credentials:BS
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS
Mailing Address - Street 1:315 FORT CROOK RD S APT 104
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-2163
Mailing Address - Country:US
Mailing Address - Phone:970-691-5057
Mailing Address - Fax:
Practice Address - Street 1:315 FORT CROOK RD S APT 104
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-2163
Practice Address - Country:US
Practice Address - Phone:970-691-5057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant