Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | R088841 | MD |
N | 363L00000X | Nurse Practitioner | RN33167 | DC |
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN33167 | DC |
NPI | 1053471664 |
---|---|
Provider Name | Ms. Elnora Lewis |
First Address | Rockville, MD 20852-4908 |
Second Address | Washington, DC 20002-7200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 06/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P91356 | (02) |