Individual
AMANDA G LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1055 N 300 W STE 401, PROVO, UT 84604-3306
(801) 357-7499
(801) 373-5980
Mailing address
1055 N 300 W, SUITE 401, PROVO, UT 84604-3344
(801) 357-7499
(801) 373-5980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4980126-4405
UT
Other
Enumeration date
10/24/2006
Last updated
01/23/2012
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