Individual
JOHN CORBRIDGE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-RNP
Contact information
Practice address
1876 E SABIN DR, CASA GRANDE, AZ 85122-6197
(520) 836-9800
(520) 836-1510
Mailing address
2730 E WALNUT DR, TAYLOR, AZ 85939-2658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
219712
AZ
363LA2200X
Adult Health Nurse Practitioner
219712
AZ
Other
Enumeration date
03/18/2019
Last updated
04/06/2023
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