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NPI Code Detail

MEDICARE: SUSAN LEWIS APRN

MEDICARE: SUSAN 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
1363LC1500XCommunity Health Nurse PractitionerAPRN002232NV
2363LF0000XFamily Nurse PractitionerAPRN002232NV
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN002232NV
4363L00000XNurse PractitionerAPRN002232NV

General Provider Information

NPI Number : 1881994895
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LEWIS APRN
Provider Business Mailing Address
First Line : 10120 S EASTERN AVE STE 203
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3926
Country : US
Telephone Number : 702-994-8050
Fax Number : 702-714-7409
Provider Business Practice Location Address
First Line : 10120 S EASTERN AVE STE 203
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3926
Country : US
Telephone Number : 702-994-8050
Fax Number : 702-441-8181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2010
Last Update Date : 08/18/2020

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