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NPI Code Detail

MEDICARE: MS. KAREN CELESTE LEWIS NURSE PRACTITIONER

MEDICARE: MS. KAREN CELESTE LEWIS NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201235NC

General Provider Information

NPI Number : 1740235241
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN CELESTE LEWIS NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 1504 2ND ST NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-2551
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 1504 2ND ST NE
Second Line :
City : HICKORY
State : NC
Zip : 28601-2551
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 01/28/2019

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