Individual provider · Type 1 NPI

Agnes Chan Lewis, ANP

Nurse Practitioner · Bridgeton, MO

NPI number 1821360454 Active

Practice location

12266 De Paul Dr Ste 205
Bridgeton, MO 63044-2514

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 100 Medical Plz, Lake St. Louis, MO 63367-1366 · (636) 625-5200

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2011034516 (MO)

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…

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About NPI 1821360454

Agnes Chan Lewis, ANP's National Provider Identifier is 1821360454, issued on Jan 27, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bridgeton, MO. The record was last updated on Nov 5, 2020.