Individual
MIRANDA L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2700 E 30TH AVE, HUTCHINSON, KS 67502-1242
(620) 663-8484
(620) 663-9526
Mailing address
2700 E 30TH AVE, HUTCHINSON, KS 67502-1242
(620) 663-8484
(620) 663-8484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-77005
KS
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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