Individual
SHERRY D LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.C.,N.P.
Contact information
Practice address
210 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 286-3900
(765) 281-4299
Mailing address
210 N TILLOTSON AVE, P O BOX 1979, MUNCIE, IN 47304-3988
(765) 286-3900
(765) 281-4299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001481A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313160
ANTHEM
IN
05
—
200481570A
—
IN
Enumeration date
12/28/2005
Last updated
01/05/2012
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