Individual
PHYLICIA HANCOCK-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
916 KOALA AVE, OMAK, WA 98841-9576
(509) 826-1800
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003744
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003818
—
WA
01
—
106989
L&I
WA
Enumeration date
07/10/2006
Last updated
08/09/2013
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