Individual
ANDREA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN- FNP
Contact information
Practice address
11723 OLD GLENN HWY STE 213, EAGLE RIVER, AK 99577-7750
(907) 854-6877
(888) 892-4144
Mailing address
PO BOX 672154, CHUGIAK, AK 99567-2154
(907) 854-6877
(888) 892-4177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26350
AK
363L00000X
Nurse Practitioner
Primary
156904
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156904
STATE OF ALASKA NURSING BOARD ANP LICENSE
AK
01
—
NURR26350
STATE OF ALASKA NURSING BOARD RN LICENSE
AK
Enumeration date
08/20/2010
Last updated
07/15/2025
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