Individual
MRS. BETTY DELORES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
618 N 32ND ST, RICHMOND, VA 23223-7506
(804) 222-7982
Mailing address
618 N 32ND ST, RICHMOND, VA 23223-7506
(804) 222-7982
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001062303
VA
163WA2000X
Administrator Registered Nurse
Primary
0001062303
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005002079
PROVIDER NUMBER
VA
Enumeration date
04/29/2008
Last updated
04/29/2008
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