THE LOTUS GLOW PLLC NPI 1972457257

NPI Information

  • NPI: 1972457257
  • Provider Name: THE LOTUS GLOW, PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 207 WESTERN AVE STE 10
    DAVENPORT, IA
    ZIP 52801
  • Phone: (563) 366-8214

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NPI Details

THE LOTUS GLOW, PLLC is a family nurse practitioner in Davenport, IA. THE LOTUS GLOW, PLLC NPI is 1972457257. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

207 WESTERN AVE STE 10
DAVENPORT, IA
ZIP 52801-012
Phone: (563) 366-8214

The provider's authorized official is Tasia Stewart .
The authorized official title is Nurse Practitioner and has the following contact phone number (563) 366-8214.

The enumeration date for this NPI number is 2/24/2026 and was last updated on 2/24/2026.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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