Lewis, Cheryl Marie
Lewis, Cheryl Marie is an individual health care provider with primary practice located at 633 Treehouse Cir , Saint Augustine FL 32095-6837. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Lewis, Cheryl Marie can be contacted via phone (904) 860-4066.Contact Information
Primary practice address
633 Treehouse Cir
Saint Augustine FL 32095-6837
Phone: (904) 860-4066
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 1431182 | Florida |
Profile Details
NPI number | 1639822398 |
---|---|
LBN Legal business name | Lewis, Cheryl Marie |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 1st, 2022 |
Last updated | Feb 1st, 2022 - about 3 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639822398 | NPPES |
Florida | Other | 1431182 | STATE BOARD |
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