Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY ELLEN STEWART, MS, ATC
DeactivatedMRS. MARY ELLEN STEWART, MS, ATC is a Athletic Trainer healthcare provider located in FORTUNA, California. NPI 1396067740 is deactivated in the NPPES registry. Verify at CMS.
Athletic Trainer · FORTUNA, CA
This NPI has been deactivated.
The record was deactivated on September 7, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1396067740
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 25, 2010 (12.531506849315 yrs)
- Last Updated
- May 13, 2024
- Deactivated
- Sep 7, 2022
Practice Information
- Address
-
1975 SCENIC DRFORTUNA, CA, 955402216Browse CA providers · Browse ZIP 95540
- Phone
- 7074990377
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.