Lewis, Ioly Tabita

Lewis, Ioly Tabita is an individual health care provider with primary practice located at 840 E Hill Ave , Moses Lake WA 98837-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Lewis, Ioly Tabita can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
840 E Hill Ave Moses Lake WA 98837-2238
Phone: (509) 663-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60785848 Washington

Profile Details

NPI number 1164784161
LBN Legal business name Lewis, Ioly Tabita
Credentials PMHNP/ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated May 20th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164784161 NPPES
Washington MEDICAID 1164784167
Washington MEDICAID 171037
Washington Other AP60785848

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