# SAMANTHA RAQUEL LEWIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104846724
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 145622 | CT | — |
| 163WG0000X | General Practice Registered Nurse | 517976-1 | NY | — |
| 363L00000X | Nurse Practitioner | 7304 | CT | — |
| 363LC1500X | Community Health Nurse Practitioner | 320051 | NY | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 401200 | NY | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 07/23/2018