Stuart, Iris Daniella

Stuart, Iris Daniella is an individual health care provider with primary practice located at 4517 Southlake Pkwy , Hoover AL 35244-3280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stuart, Iris Daniella can be contacted via phone (205) 985-4111.

Contact Information

Primary practice address
4517 Southlake Pkwy Hoover AL 35244-3280
Phone: (205) 985-4111
Fax: (205) 985-4326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.410 Alabama

Profile Details

NPI number 1114030947
LBN Legal business name Stuart, Iris Daniella
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated May 9th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114030947 NPPES
South Carolina MEDICAID PA1122
South Carolina Other 1065741

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