Individual provider · Type 1 NPI

Courtney Lewis, CRNA

Registered Nurse · Tyler, TX

NPI number 1457094328 Active

Practice location

801 E Dawson St.
Tyler, TX 75701

Mailing address

16686 Meadow Crest Dr
Lindale, TX 75771-5263

Other practice locations

  • 910 E Houston St Ste 400, Tyler, TX 75702-8368 · (903) 606-4268
  • 800 E Dawson St, Tyler, TX 75701-2036 · (903) 525-2668
  • 8389 S Broadway Ave, Tyler, TX 75703-5408 · (903) 606-6500
  • 1720 S Beckham Ave Ste 104, Tyler, TX 75701-4437 · (903) 606-3900

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist 367500000X1094911 (TX)
Registered Nurse Primary 163W00000X786794 (TX)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1457094328

Courtney Lewis, CRNA's National Provider Identifier is 1457094328, issued on Apr 18, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Tyler, TX. The record was last updated on Sep 22, 2022.