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Individual

MRS. CAMERON NICHOLE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
5845 RICHMOND HWY STE 150, ALEXANDRIA, VA 22303-1868
(703) 333-6960
(703) 256-8294
Mailing address
4121 S FOUR MILE RUN DR UNIT 203, ARLINGTON, VA 22204-3913
(502) 592-9080

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024176020
VA
363LA2100X
Acute Care Nurse Practitioner
RN1023367
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024176020
VA- NURSE PRACTITIONER LICENSE
VA
Enumeration date
07/21/2017
Last updated
05/10/2018
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