Individual
SHARON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-7000
Mailing address
348 E BRICE ST, MONTPELIER, IN 47359-1465
(765) 661-4629
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28164761A
IN
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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