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SUSAN ELIZABETH STEWART A.N.P. NPI 1588974026


NPI Information

NPI: 1588974026
Provider Name: SUSAN ELIZABETH STEWART, A.N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3 ST. ELIZABETH'S BLVD.
STE. 2800
O'FALLON, IL
ZIP 62269
Phone: (618) 233-6044
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Susan Elizabeth Stewart, A.N.P. is an adult health nurse practitioner in O'fallon, IL with 15 years of experience. Susan Elizabeth Stewart, A.N.P. NPI is 1588974026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

3 ST. ELIZABETH'S BLVD.
STE. 2800
O'FALLON, IL
ZIP 62269-099
Phone: (618) 233-6044
Fax: (618) 233-5195

The NPI 1588974026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 12/20/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease209.007628ILLINOISNo
2363LA2200XNurse PractitionerAdult Health209007628ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P01046089OTHERILLINOISRAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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