Individual provider · Type 1 NPI
Tegwyn Lewis-Pine, NP
Pediatric Nurse Practitioner · Fremont, CA
NPI number
1548637382
Active
Practice location
39500 Liberty St
Fremont, CA 94538-2211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 95002877 (CA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1548637382
Tegwyn Lewis-Pine, NP's National Provider Identifier is 1548637382, issued on Aug 27, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fremont, CA. The record was last updated on Aug 27, 2015.