Healthcare Provider Details

I. General information

NPI: 1194181990
Provider Name (Legal Business Name): HELEN LEWIS-BROWN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HELEN LEWIS APRN, FNP-C

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 06/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 S NOLAND RD
INDEPENDENCE MO
64055-3346
US

IV. Provider business mailing address

9809 HARDESTY AVE
KANSAS CITY MO
64137-1335
US

V. Phone/Fax

Practice location:
  • Phone: 855-925-4733
  • Fax:
Mailing address:
  • Phone: 816-209-4828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015032921
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: