Provider Demographics
NPI:1578300935
Name:STEWART, AMBER (CD(DONA))
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:STEWART
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 MARVONNE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2326
Mailing Address - Country:US
Mailing Address - Phone:316-323-0378
Mailing Address - Fax:
Practice Address - Street 1:2122 MARVONNE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2326
Practice Address - Country:US
Practice Address - Phone:316-323-0378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula