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NPI Code Detail

MEDICARE: TAMI LEWIS APRN

MEDICARE: TAMI LEWIS APRN
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
1363LA2100XAcute Care Nurse PractitionerAPRN11021098FL
2363LF0000XFamily Nurse PractitionerAPRN11021098FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528787801
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMI LEWIS APRN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-6202
Fax Number : 239-343-4159
Provider Business Practice Location Address
First Line : 625 DEL PRADO BLVD S STE 200
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-2667
Country : US
Telephone Number : 239-772-3636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 08/07/2025

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Directions to “ TAMI LEWIS APRN” Practice Location

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