Individual provider · Type 1 NPI

Kathleen Lewis

Nurse Practitioner · Shelby Township, MI

NPI number 1053963611 Active

Practice location

46961 Van Dyke Ave
Shelby Township, MI 48317

Mailing address

517 Hawthorn Ave
Royal Oak, MI 48067-3619

Other practice locations

  • 2915 Walton Blvd, Rochester Hills, MI 48309-1419 · (248) 759-4222

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704313036 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

3 other providers at this address

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About NPI 1053963611

Kathleen Lewis's National Provider Identifier is 1053963611, issued on Jul 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shelby Township, MI. The record was last updated on Jul 18, 2019.