Individual
LISA BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
2 W 42ND ST, SCOTTSBLUFF, NE 69361-0617
(308) 630-1811
Mailing address
TWO W 42ND ST, SCOTTSBLUFF, NE 69361
(308) 630-1811
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1900
NE
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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