Individual
KIARA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 ADMIRAL COCHRANE DR STE 101B, ANNAPOLIS, MD 21401-7378
(410) 760-9079
(410) 760-1121
Mailing address
175 ADMIRAL COCHRANE DR STE 101B, ANNAPOLIS, MD 21401-7378
(410) 760-9079
(410) 760-1121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
924503
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1028635
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AC004143
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP200005127
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN299890
GA
Other
Enumeration date
11/12/2020
Last updated
08/08/2024
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