Individual
NICOLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
138 FILLY LN, BRUCETON MILLS, WV 26525-7310
(304) 654-6303
Mailing address
138 FILLY LN, BRUCETON MILLS, WV 26525-7310
(304) 654-6303
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112169
WV
363LF0000X
Family Nurse Practitioner
3016267
KY
Other
Enumeration date
09/05/2021
Last updated
10/24/2024
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