| Carol Lee Stewart, DNP, APRN, CNP | |
| 
					513 3rd Street Sw, Wagner, SD 57380  | |
| (605) 384-3611 | |
| Not Available | 
| Full Name | Carol Lee Stewart | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 513 3rd Street Sw, Wagner, South Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1083070593 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4925 (Minnesota) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | CP001024 (South Dakota) | Primary | 
| Entity Name | Rosebud Indian Health Service | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carol Lee Stewart, DNP, APRN, CNP Po Box 280, Wagner, SD 57380-0280 Ph: (605) 384-3611  | Carol Lee Stewart, DNP, APRN, CNP 513 3rd Street Sw, Wagner, SD 57380 Ph: (605) 384-3611  | 
Lindsey Nedved, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611  | |
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611  | |
Jazmyn Soukup, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611  | |
Jessica M Vanderham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611  | |
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240  | |
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611  |