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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164784161 | NPPES |
Washington | MEDICAID | 1164784167 | |
Washington | MEDICAID | 171037 | |
Washington | Other | AP60785848 |
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