Denise Lewis, NP
Individual provider Active NPI Adult Health Nurse Practitioner · McCloud, CA
NPI 1992830228 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992830228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 525260 (CA)
- Practice address
- 116 W Minnesota Ave
McCloud, CA 96057 - Phone
- (530) 964-2389
- NPI assigned
- Feb 23, 2007
- 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)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 525260 | CA | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 525260 | CA | Yes |
Addresses
Primary practice location
116 W Minnesota Ave
McCloud, CA 96057
Mailing address
2221 Center Rd
Novato, CA 94947-2056
Other providers in McCloud, CA
- Alan David Cooper
- Christine Crouch
- William Clark Foy
- Maryam Ghazi
- Thomas M Klassy
- McCloud Community Services District
- McCloud Healthcare Clinic, Inc.
- McCloud Union Elementary School
- Peak Medical Transportation
- Jeffrey Dean Ridge
All providers in McCloud, CA · Adult Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.