Individual
MRS. NELLIE BRUNO LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
21230 DEQUINDRE RD, WARREN, MI 48091-2279
(586) 880-2485
(586) 759-0237
Mailing address
3717 WALNUT BROOK DR, ROCHESTER HILLS, MI 48309-4069
(248) 852-7902
(248) 853-0671
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704097163
MI
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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