Provider Demographics
NPI:1306124557
Name:STEWART, STACY J (ARNP)
Entity type:Individual
Prefix:MRS
First Name:STACY
Middle Name:J
Last Name:STEWART
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Gender:F
Credentials:ARNP
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Mailing Address - Street 1:4325 WILLIAMS BLVD SW UNITYPOINT CLINIC FAMILY MEDICINE
Mailing Address - Street 2:STE 100
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404
Mailing Address - Country:US
Mailing Address - Phone:319-368-8400
Mailing Address - Fax:319-368-8405
Practice Address - Street 1:4325 WILLIAMS BLVD SW UNITYPOINT CLINIC FAMILY MEDICINE
Practice Address - Street 2:STE 100
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404
Practice Address - Country:US
Practice Address - Phone:319-368-8400
Practice Address - Fax:319-368-8405
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2024-09-25
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Provider Licenses
StateLicense IDTaxonomies
WI7675-33363LF0000X
IAA167135363LP0808X, 363LF0000X
IAG178407363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health