Individual
MEDITA L LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8 ATWOOD DR STE 201, NORTHAMPTON, MA 01060-4266
(413) 582-0471
Mailing address
8 ATWOOD DR STE 201, NORTHAMPTON, MA 01060-4266
(413) 582-0471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2307676
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2307676
MA
Other
Enumeration date
09/29/2020
Last updated
09/02/2021
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