Provider Demographics
NPI:1700185014
Name:STEWART, ADRIENNE (ND)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 CAMINO DEL RIO S
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3802
Mailing Address - Country:US
Mailing Address - Phone:619-345-3111
Mailing Address - Fax:844-685-9511
Practice Address - Street 1:2831 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3802
Practice Address - Country:US
Practice Address - Phone:619-345-3111
Practice Address - Fax:844-685-9511
Is Sole Proprietor?:No
Enumeration Date:2011-03-25
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND791175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath