Individual
MS. HANNA MAE NOEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5486 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-5365
(757) 424-2490
Mailing address
21 GREENTREE DR APT 1A, SHINNSTON, WV 26431-7584
(843) 991-0347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010066
VA
363A00000X
Physician Assistant
1190977
WV
Other
Enumeration date
01/23/2023
Last updated
03/05/2025
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