Individual
MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26317 WASHINGTON ST, NORTH DINWIDDIE, VA 23803-2727
(804) 524-7000
Mailing address
PO BOX 34382, NORTH CHESTERFIELD, VA 23234-0382
(804) 536-4050
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
24194082
VA
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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