| NPI | 1780351676 |
|---|---|
| Professional Name | TRAE STEWART |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202200812NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R52093) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2022-03-11 |