Individual provider · Type 1 NPI

Serenity Lewis

Student in an Organized Health Care Education/Training Program · Phoenix, AZ

NPI number 1073466397 Active

Practice location

3300 W Camelback Rd
Phoenix, AZ 85017-3030

Call (678) 833-4723 Map

Mailing address

2740 E Corona Ave
Phoenix, AZ 85040-2734

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073466397

Serenity Lewis's National Provider Identifier is 1073466397, issued on Feb 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 17, 2026.