Individual
MS. GRETHA REGINA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
158 PADDOCK AVE APT 904, MERIDEN, CT 06450-6996
(860) 778-3322
Mailing address
158 PADDOCK AVE APT 904, MERIDEN, CT 06450-6996
(860) 778-3322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
004516
CT
363LA2200X
Adult Health Nurse Practitioner
004516
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004516
LICENSE
CT
Enumeration date
10/16/2010
Last updated
10/22/2025
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