Individual
MRS. AMY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CONGRESS ST STE 2, SALEM, MA 01970-5567
(978) 744-4274
Mailing address
90 POPLAR ST, DANVERS, MA 01923-2453
(978) 978-3176
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN280220
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S27454772
MA LICENCE
MA
Enumeration date
05/22/2019
Last updated
05/22/2019
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