Individual
MIRANDA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 N PINE ST APT 2, GRAND ISLAND, NE 68801-5986
(308) 321-2585
Mailing address
306 N PINE ST APT 2, GRAND ISLAND, NE 68801-5986
(308) 321-2585
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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