Individual
VIRGINIA ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
900 N ORANGE ST, SUITE 304, MISSOULA, MT 59802-2998
(406) 329-5781
(406) 327-3331
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 329-4142
(406) 549-2246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30731
MT
363LF0000X
Family Nurse Practitioner
AP30003923
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9633074
—
WA
Enumeration date
04/25/2006
Last updated
06/06/2016
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