Individual
MRS. BRANDI MICKALE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 645-0146
(216) 781-2023
Mailing address
7584 SHEFFIELD CT, MACEDONIA, OH 44056-2272
(330) 468-2086
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.021012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0228085
—
OH
Enumeration date
02/23/2007
Last updated
03/17/2018
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