Individual
CATHY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2575
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0042
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TEMP64153
ID
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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