Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC1500X | Nurse Practitioner - Community Health | 829222 | NV |
NPI | 1770117756 |
---|---|
Provider Name | Elizabeth Patricia Lewis |
First Address | Reno, NV 89502-2550 |
Second Address | Reno, NV 89502-2550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2020 |
Last Update Date | 16/07/2020 |