Individual
AMANDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5 REGENT ST STE 509, LIVINGSTON, NJ 07039-1682
(973) 251-2437
Mailing address
40 MAIN ST, CHATHAM, NJ 07928-2431
(736) 350-8009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20235300
NJ
363L00000X
Nurse Practitioner
26NJ14970300
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ14970300
NJ
Other
Enumeration date
01/03/2024
Last updated
04/08/2025
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