Individual
PATRICIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
61 PINE ST, BLDG 4 SUITE 400, BRISTOL, VT 05443-1043
(802) 453-7422
(802) 453-4815
Mailing address
61 PINE ST, BLDG 4, SUITE 400, BRISTOL, VT 05443-1043
(802) 453-7422
(802) 453-4815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101-0040354
VT
363LF0000X
Family Nurse Practitioner
F332750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02300094
—
NY
Enumeration date
06/05/2006
Last updated
04/25/2013
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