Individual
MARSHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
113 S MAIN ST STE A, ULYSSES, KS 67880-2519
(620) 356-2432
Mailing address
1104 N SUNSET, SYRACUSE, KS 67878
(620) 384-5439
(620) 274-4729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
44876
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161288
BC/BS PROVIDER NUMBER
KS
Enumeration date
09/20/2005
Last updated
04/02/2024
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