Angelia Deniese Lewis
Nurse Practitioner Nurse Practitioner - Family Medicine
251 N Bayou St
Mobile
, Alabama 36603
Angelia Deniese Lewis
Nurse Practitioner Nurse Practitioner - Family Medicine
251 N Bayou St
Mobile
, Alabama 36603
(251) 544-2188
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Angelia Deniese Lewis
- Po Box 2867
- Mobile, AL
- Zip : 36652-2867
- Fax : (251) 544-2188
- Phone : (251) 690-8894
Second Address
- Angelia Deniese Lewis
- 251 N Bayou St
- Mobile, AL
- Zip : 36603
- Fax : (251) 544-2188
- Phone : (251) 690-8894
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP9232731 | FL |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 1-073404 | AL |
National Provider Identifier
| NPI | 1003896358 |
|---|---|
| Provider Name | Angelia Deniese Lewis |
| First Address | Mobile, AL 36652-2867 |
| Second Address | Mobile, AL 36603 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/01/2006 |
| Last Update Date | 21/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 011846 | MEDICARE GROUP NUMBER (01) | AL |
| 1063439065 | GROUP NPI PAYEE NUMBER (01) | AL |
| 630000013 | (05) | AL |
| Q57288 | (02) | |
| Y083X | BCBS (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.