Individual
IVY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3003 N CENTRAL AVE, SUITE 800, PHOENIX, AZ 85012-2902
(855) 821-5128
Mailing address
748 E CANTEBRIA DR, GILBERT, AZ 85296-3542
(480) 650-4390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4956
AZ
Other
Enumeration date
04/15/2013
Last updated
06/29/2016
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