Individual
MS. DINA REA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(800) 243-3839
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
106025
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225150675
—
MO
01
—
149573
HEALTH ALLIANCE
MO
Enumeration date
04/05/2007
Last updated
03/02/2021
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