Individual
NICOLE COLETTE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
91-1123 KAIMALIE ST, EWA BEACH, HI 96706-5019
(808) 218-4078
Mailing address
91-1123 KAIMALIE ST, EWA BEACH, HI 96706-5019
(808) 218-4078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1619
HI
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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