Provider Demographics
NPI:1982565016
Name:STEWART-BROWN, ITHICA
Entity type:Individual
Prefix:MRS
First Name:ITHICA
Middle Name:
Last Name:STEWART-BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4017 HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-1106
Mailing Address - Country:US
Mailing Address - Phone:330-951-9768
Mailing Address - Fax:
Practice Address - Street 1:4017 HOWARD ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-1106
Practice Address - Country:US
Practice Address - Phone:330-951-9768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide