Individual
TINA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 512-5124
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007810
NC
Other
Enumeration date
07/11/2015
Last updated
04/12/2022
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