Provider Demographics
NPI:1053641571
Name:STEWART, CATHERINE J (ANP-BC)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:J
Last Name:STEWART
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8402
Mailing Address - Country:US
Mailing Address - Phone:828-698-2979
Mailing Address - Fax:828-233-1679
Practice Address - Street 1:303 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8402
Practice Address - Country:US
Practice Address - Phone:828-698-2979
Practice Address - Fax:828-233-1679
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005027363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1053641571Medicaid