Provider Demographics
NPI:1245250430
Name:STEWART, CHRISTY L (APRN, CNP, PNP-C)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:L
Last Name:STEWART
Suffix:
Gender:F
Credentials:APRN, CNP, PNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2227 S GARNETT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74129-5115
Mailing Address - Country:US
Mailing Address - Phone:918-856-3937
Mailing Address - Fax:918-856-3821
Practice Address - Street 1:2227 S GARNETT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74129-5119
Practice Address - Country:US
Practice Address - Phone:918-856-3937
Practice Address - Fax:918-856-3821
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0056184363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics