Individual
KRISTEN M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 HARRISON ST, SUITE 250, JOHNSON CITY, NY 13790
(607) 770-8600
(607) 770-0853
Mailing address
30 HARRISON ST, SUITE 250, JOHNSON CITY, NY 13790
(607) 770-8600
(607) 770-0853
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01976214
—
NY
Enumeration date
05/17/2006
Last updated
07/20/2016
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