Individual
NANCY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1912 BUNDY AVE, NEW CASTLE, IN 47362-2918
(765) 521-1401
Mailing address
1912 BUNDY AVE, NEW CASTLE, IN 47362-2918
(765) 521-1401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28072424A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008800650
—
IN
Enumeration date
02/04/2008
Last updated
02/04/2008
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