Most Relevant Information
Provider Data
| NPI Number: | 1003230418 |
| Provider Name: | CONNIE STEWART LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN075283 |
Most Important Dates
| Enumeration Date: | 02/06/2014 |
| Last Updated: | 02/06/2014 |
Provider Practice Location
11300 COLUMBIANA CANFIELD RD
CANFIELD
OH
444068485
Practice Location Phone/Fax
| Phone: | 3305494071 |
| Fax: |
Provider Mailing Location
11300 COLUMBIANA CANFIELD RD
CANFIELD
OH
444068485
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |