Individual
CHARLETTA LEA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1044 11TH AVE, LONGVIEW, WA 98632-2506
(360) 353-9422
(360) 353-9526
Mailing address
14027 N FRIENDSHIP LN, NINE MILE FALLS, WA 99026-8721
(509) 290-2641
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN00129609
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60737780
WA
Other
Enumeration date
01/25/2007
Last updated
12/06/2017
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