Lewis, Amy Renee

Lewis, Amy Renee is an individual health care provider with primary practice located at 2800 E Broad St Ste 517 , Mansfield TX 76063-6417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lewis, Amy Renee can be contacted via phone (817) 592-3002.

Contact Information

Primary practice address
2800 E Broad St Ste 517 Mansfield TX 76063-6417
Phone: (817) 592-3002
Fax: (817) 549-5151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 676199 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP121311 Texas

Profile Details

NPI number 1164793246
LBN Legal business name Lewis, Amy Renee
Credentials R.N., AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2012
Last updated Jul 1st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164793246 NPPES
Texas Other TXB157975 MEDICARE PTAN
Texas Other V0190197 MEDICARE PTAN

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