Regina Lynn Lewis, CRNP

Individual provider Active NPI Family Nurse Practitioner · Smithfield, PA

NPI 1750844643 · NPPES record last updated Apr 9, 2019

Key facts

NPI
1750844643
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
SP020220 (PA)
Practice address
100 Ridgeview Dr Unit 3
Smithfield, PA 15478-1650
Phone
(724) 569-8100
Fax
(724) 569-8368
NPI assigned
Apr 9, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020220PAMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020220 PA Yes

Addresses

Primary practice location

100 Ridgeview Dr Unit 3
Smithfield, PA 15478-1650

Mailing address

100 Ridgeview Dr Unit 3
Smithfield, PA 15478-1650
Phone (724) 569-8100

Other providers in Smithfield, PA

All providers in Smithfield, PA · Family Nurse Practitioner in Pennsylvania

Sources for this page

Verify at the official NPI Registry.