Individual provider · Type 1 NPI
Alexandra Lewis, CPNP
Pediatric Nurse Practitioner · Stony Brook, NY
NPI number
1629659164
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-2002
Mailing address
15 Cullen Dr
East Northport, NY 11731-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383169-01 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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Other pediatric nurse practitioner providers in Stony Brook
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- Tara Flocco, RN, NPPediatric Nurse Practitioner Stony Brook, NY NPI 1043485998
- Rosemary A. Mahan, RN, CPNPPediatric Nurse Practitioner Stony Brook, NY NPI 1073773529
- Renee Moos, NPPediatric Nurse Practitioner Stony Brook, NY NPI 1083066328
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About NPI 1629659164
Alexandra Lewis, CPNP's National Provider Identifier is 1629659164, issued on Apr 16, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Stony Brook, NY. The record was last updated on Apr 21, 2023.