Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN002520 | NV |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 184417 | CO |
NPI | 1316103435 |
---|---|
Provider Name | Miss Kristina Suzanne Lewis |
First Address | Reno, NV 89511-2060 |
Second Address | Reno, NV 89511-2060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2008 |
Last Update Date | 06/02/2018 |