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Diana Louise Lewis, NP
Family Nurse Practitioner in Ocate, New Mexico
NPI 1043201056

Diana Louise Lewis is a Family Nurse Practitioner based in Ocate, NM and is specialized in Family. Diana Louise Lewis practices in Ocate, NM and has the professional credentials of NP. The NPI Number for Diana Louise Lewis is 1043201056 and holds a License No. R24775 (New Mexico).

The current practice location address for Diana Louise Lewis is Nm State Highway 120,, Ocate, NM and can be reached out via phone at 505-666-2475.

Location: Nm State Highway 120,, Ocate, NM, 87734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043201056
Provider Name
Diana Louise Lewis
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
Nm State Highway 120,, Ocate, NM, 87734
Phone Number
505-666-2475
Fax Number
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NM400019 01 NM INDIVIDUAL PTAN
NMB2163 01 NM GROUP PTAN NMB2163
22002570 05 NM
41903765 05 NM
institution
Provider Business Practice Location Address Details
Address
Nm State Highway 120,
City
Ocate
State
New Mexico
Zip
87734
Phone Number
505-666-2475
Fax Number
person
Provider Business Mailing Address Details
Address
Nm State Highway 120,
City
Ocate
State
New Mexico
Zip
87734
Phone Number
505-666-2475
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R24775 (New Mexico)
Definition
Definition to come...
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