Doctor Name: | PATRICIA JEAN LEWIS |
NPI Number: | 1588828701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 377680 |
Business Practice Address: | 2186 David Way Apt. C Fortuna, CA - 955402547 |
Business Phone Number: | 7076826303 |
Business Fax Number: | |
Mailing Address: | Po Box 2323, WEAVERVILLE |
State: | CA |
Postal Code: | 960932323 |
Phone Number: | 7078417442 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2008 |
NPI Last Update Date: | 07/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 377680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |