Individual
MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
301 MAYDE RD, BEREA, KY 40403-9777
(859) 347-3840
(888) 440-5402
Mailing address
301 MAYDE RD, BEREA, KY 40403-9777
(859) 347-3840
(888) 440-5402
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26952
SC
Other
Enumeration date
01/31/2023
Last updated
05/15/2025
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