Lewis, Michelle D

Lewis, Michelle D is an individual health care provider with primary practice located at 9900 Bren Rd East Mail Route Mn 008-B213, Minnetonka MN 55343-9664. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Lewis, Michelle D can be contacted via phone (817) 368-1565.

Contact Information

Primary practice address
9900 Bren Rd East Mail Route Mn 008-B213 Minnetonka MN 55343-9664
Phone: (817) 368-1565
Fax: (817) 416-0145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 606929 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP112278 Texas

Profile Details

NPI number 1972567956
LBN Legal business name Lewis, Michelle D
Credentials FNP, ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Sep 17th, 2020 - about 4 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 1972567956 NPPES
Texas MEDICAID 160864802

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