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General NPI Number Information
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NPI Number | 1730961541
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Entity Type | Individual
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Provider Name | ASHLEY LEWIS DNP FNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 10/17/2023
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Last Update Date | 06/14/2026
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Provider Practice Location Address
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Address Line | 301 MICHIGAN ST NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3314
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Country | US
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Telephone | 616-331-3558
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W LAKEWOOD RD
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City | WHITEHALL
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State | MI
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Zip | 49461-9223
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Country | US
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Telephone | 231-329-3338
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704341118
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License Number State | MI
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