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Mary Elizabeth Lewis, C-FNP
Family Nurse Practitioner in Peoria, Illinois
NPI 1578579470

Mary Elizabeth Lewis is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Mary Elizabeth Lewis practices in Peoria, IL and has the professional credentials of C-FNP. The NPI Number for Mary Elizabeth Lewis is 1578579470 and holds a License No. 036066331 (Illinois).

The current practice location address for Mary Elizabeth Lewis is 5401 N Knoxville Ave Ste 208, Peoria, IL and can be reached out via phone at 309-672-4908.

Location: 5401 N Knoxville Ave Ste 208, Peoria, IL, 61614-5021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578579470
Provider Name
Mary Elizabeth Lewis
Credential
C-FNP
Provider Entity Type
Individual
Gender
Female
Address
5401 N Knoxville Ave Ste 208, Peoria, IL, 61614-5021
Phone Number
309-672-4908
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7215059 01 IL BCBS PPO
069915 01 IL HEALTH ALLIANCE
500014413 01 IL RAILROAD MEDICARE
563097 01 IL HEALTHLINK
IL01Q8 01 IL JOHN DEERE
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave Ste 208
City
Peoria
State
Illinois
Zip
61614-5021
Phone Number
309-672-4908
Fax Number
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave Ste 208
City
Peoria
State
Illinois
Zip
61614-5021
Phone Number
309-672-4908
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209002626 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209002626 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
036066331 (Illinois)
Definition
Definition to come...
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