Individual
ANDREA RENEE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
84562RN
Contact information
Practice address
1000 MICHIGAN AVE, CHARLESTON AFB, SC 29404-2020
(843) 767-5914
(843) 767-5932
Mailing address
1000 MICHIGAN AVE, CHARLESTON AFB, SC 29404-2020
(843) 767-5914
(843) 767-5932
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
84562
SC
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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