Individual
NICHOLAS STEPHEN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
8051 S EMERSON AVE STE 300, INDIANAPOLIS, IN 46237-8630
(317) 851-2663
(317) 851-2664
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28258925A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012648A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300064560
—
IN
Enumeration date
06/01/2022
Last updated
02/07/2025
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