Individual
ANTONESHA CHERAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1506 S AGNEW AVE, OKLAHOMA CITY, OK 73108-2432
(405) 358-3131
Mailing address
279 WINDSOR WAY, MIDWEST CITY, OK 73110-3343
(405) 361-3815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220735
OK
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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