Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | APRN002232 | NV |
N | 363LC1500X | Nurse Practitioner - Community Health | APRN002232 | NV |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN002232 | NV |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN002232 | NV |
NPI | 1881994895 |
---|---|
Provider Name | Susan Lewis |
First Address | Henderson, NV 89052-3926 |
Second Address | Henderson, NV 89052-3926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 18/08/2020 |