Individual
STEPHANIE A LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 326-6400
(505) 326-4606
Mailing address
1515 E 20TH ST, SUITE A, FARMINGTON, NM 87401-9039
(505) 326-6400
(505) 326-4606
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R16540
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002239
LOVELACE HP
NM
01
—
201005821
PRESBYTERIAN HP
NM
05
—
336710
—
AZ
05
—
97459770
—
CO
05
—
H7375
—
NM
01
—
NM006484
BCBS
NM
05
—
T0966
—
UT
Enumeration date
02/13/2006
Last updated
05/23/2008
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