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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1639822398 NPPES
Florida Other 1431182 STATE BOARD

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