Individual
MRS. MAUREEN MAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 COLUMBUS AVE, BAY CITY, MI 48708-6831
(989) 621-3757
Mailing address
4817 W PROFESSIONAL DR, BAY CITY, MI 48706-2818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704279856
RN LICENSE NUMBER
MI
Enumeration date
10/29/2020
Last updated
03/21/2022
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