MARY LEWIS, C-FNP

Nurse Practitioner - Family

Active Individual
NPI: 1578579470

Practice Address

5401 N KNOXVILLE AVE STE 208
Peoria, IL 61614

Phone: (309) 672-4908

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 036066331 (IL)
Nurse Practitioner - Gerontology 363LG0600X No 209002626 (IL)
Nurse Practitioner - Family 363LF0000X Yes 209002626 (IL)

Frequently Asked Questions

NPI 1578579470 is the National Provider Identifier for MARY LEWIS, C-FNP, a Nurse Practitioner - Family provider located in Peoria, IL. This NPI was enumerated on July 31, 2006.
MARY LEWIS, C-FNP practices at 5401 N KNOXVILLE AVE STE 208, Peoria, IL 61614.

Quick Facts

NPI
1578579470
Type
Individual
Enumerated
Jul 31, 2006
Last Updated
Dec 4, 2024

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