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Mary E. Lewis, FNP-BC
Family Nurse Practitioner in Princeton, West Virginia
NPI 1568861482

Mary E. Lewis is a Family Nurse Practitioner based in Princeton, WV and is specialized in Family. Mary E. Lewis practices in Princeton, WV and has the professional credentials of FNP-BC. The NPI Number for Mary E. Lewis is 1568861482 and holds a License No. 73538 (West Virginia).

The current practice location address for Mary E. Lewis is 122 12Th St, Princeton, WV and can be reached out via phone at 304-431-5536 and via fax at 304-487-7743.

Location: 122 12Th St, Princeton, WV, 24740-2312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568861482
Provider Name
Mary E. Lewis
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
122 12Th St, Princeton, WV, 24740-2312
Phone Number
304-431-5536
Fax Number
304-487-7743
Provider Enumeration Date
08/15/2014
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WV4776A 01 WV PALMETTO GBA- PTAN
institution
Provider Business Practice Location Address Details
Address
122 12Th St
City
Princeton
State
West Virginia
Zip
24740-2312
Phone Number
304-431-5536
Fax Number
304-487-7743
person
Provider Business Mailing Address Details
Address
122 12Th St
City
Princeton
State
West Virginia
Zip
24740-2312
Phone Number
304-431-5536
Fax Number
304-487-7743
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
73538 (West Virginia)
Definition
Definition to come...
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