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NPI Code Detail

MEDICARE: SHARON LEWIS-KEITH

MEDICARE: SHARON LEWIS-KEITH
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
1163WG0000XGeneral Practice Registered NurseF06251862VA
2163WM0705XMedical-Surgical Registered NurseF06251862VA
3363LF0000XFamily Nurse Practitioner0024194448VA

General Provider Information

NPI Number : 1912887167
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON LEWIS-KEITH
Provider Business Mailing Address
First Line : 6601 WHISPERWOOD DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6290
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6601 WHISPERWOOD DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6290
Country : US
Telephone Number : 804-350-6127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2025
Last Update Date : 05/19/2026

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