Individual
MRS. ANNETTE M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDEM, CPM
Contact information
Practice address
520 16TH AVE N, NAMPA, ID 83687-3538
(208) 467-1230
Mailing address
520 16TH AVE N, NAMPA, ID 83687-3538
(208) 467-1230
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-23
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MID-23
LICENSED MIDWIFE
ID
Enumeration date
06/05/2007
Last updated
01/04/2016
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