person
Andrea Morgan Formyduval Lewis, FNP
Family Nurse Practitioner in Wilmington, North Carolina
NPI 1154550077

Andrea Morgan Formyduval Lewis is a Family Nurse Practitioner based in Wilmington, NC and is specialized in Family. Andrea Morgan Formyduval Lewis practices in Wilmington, NC and has the professional credentials of FNP. The NPI Number for Andrea Morgan Formyduval Lewis is 1154550077 and holds a License No. 5004417 (North Carolina).

The current practice location address for Andrea Morgan Formyduval Lewis is 4005 Oleander Dr, Wilmington, NC and can be reached out via phone at 910-790-9949 and via fax at 910-790-9455.

Location: 4005 Oleander Dr, Wilmington, NC, 28412-6431
person
Provider Profile Details
NPI Number
1154550077
Provider Name
Andrea Morgan Formyduval Lewis
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4005 Oleander Dr, Wilmington, NC, 28412-6431
Phone Number
910-790-9949
Fax Number
910-790-9455
Provider Enumeration Date
07/13/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7005679 05 NC
institution
Provider Business Practice Location Address Details
Address
4005 Oleander Dr
City
State
Zip
28403-6816
Phone Number
910-790-9949
Fax Number
910-790-9455
person
Provider Business Mailing Address Details
Address
4005 Oleander Dr
City
State
Zip
28403-6816
Phone Number
910-790-9949
Fax Number
910-790-9455
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5004417 (North Carolina)
Definition
Definition to come...
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