Individual
STEPHANIE MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
4117 W CARRIER RD, ENID, OK 73703-1018
(580) 747-3877
Mailing address
4117 W CARRIER RD, ENID, OK 73703-1018
(580) 747-3877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
207250
OK
363LF0000X
Family Nurse Practitioner
207250
OK
363LF0000X
Family Nurse Practitioner
R0122348
OK
Other
Enumeration date
02/15/2022
Last updated
11/01/2024
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