Basic Information
| Provider Information | |||||||||
| NPI: | 1013143601 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEWART | ||||||||
| FirstName: | NEKIA | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | CRNA | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1002 GEMINI ST STE 128 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770582746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812189515 | ||||||||
| FaxNumber: | 2812189534 | ||||||||
| Practice Location | |||||||||
| Address1: | 1002 GEMINI ST STE 128 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770582746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812189515 | ||||||||
| FaxNumber: | 2812189534 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2009 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 699916 | TX | N | Nursing Service Providers | Registered Nurse | 367500000X | 699916 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.